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1376994566
OLASIMBO IFASEWA ODUTAYO
FORT WORTH, TX
NPI
1376994566
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Professional Name
OLASIMBO IFASEWA ODUTAYO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP131147)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
Mrs. OLASIMBO IFASEWA ODUTAYO
308 AUTUMN PARK
FORT WORTH, TX 76140-6524
Phone number: 682-552-3574
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Mailing Address
Mrs. OLASIMBO IFASEWA ODUTAYO
308 AUTUMN PARK
FORT WORTH, TX 76140-6524
Phone number: 682-552-3574
Copy
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