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1467155879
OBAFEMI AKINSANYA
FORT WAYNE, IN
NPI
1467155879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 28222440C)
Enumeration Date
2023-03-24
Last Update Date
2023-03-29
Business Address
OBAFEMI AKINSANYA
4646 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6842
Phone number: 484-541-3678
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Mailing Address
OBAFEMI AKINSANYA
4646 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804-6832
Phone number:
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