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1366985251
OMOTARA JOAN ADEWALE
NEW YORK, NY
NPI
1366985251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F341251-1)
Enumeration Date
2016-11-23
Last Update Date
2018-03-03
Business Address
OMOTARA JOAN ADEWALE MSN, NP-C, FNP-BC
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 646-465-4656
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Mailing Address
OMOTARA JOAN ADEWALE MSN, NP-C, FNP-BC
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 212-639-2000
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