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1417704032
DIVINE OLUWATOSIN OJELADE
MORENO VALLEY, CA
NPI
1417704032
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Former Name
ADEMUYIWA OJELADE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029823)
Enumeration Date
2024-05-01
Last Update Date
2024-07-02
Business Address
DIVINE OLUWATOSIN OJELADE NP
24060 FIR AVE STE A
MORENO VALLEY, CA 92553-2895
Phone number: 951-247-8005
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Mailing Address
DIVINE OLUWATOSIN OJELADE NP
16675 SHUNING CT
MORENO VALLEY, CA 92551-7491
Phone number: 310-909-4078
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