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1427406651
ADEWALE S OMONIYI
PROVIDENCE, RI
NPI
1427406651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: MA Ln91103)
Enumeration Date
2016-05-27
Last Update Date
2016-05-27
Business Address
Mr. ADEWALE S OMONIYI Nurse
11 S ANGELL ST # 383
PROVIDENCE, RI 02906-5206
Phone number: 401-516-1804
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Mailing Address
Mr. ADEWALE S OMONIYI Nurse
11 S ANGELL ST # 383
PROVIDENCE, RI 02906-5206
Phone number: 401-516-1804
Copy