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1477321891
BOLAJI JOHNSON ADESANYA
KLAMATH FALLS, OR
NPI
1477321891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 22-QMHP-R-1638)
Enumeration Date
2023-12-14
Last Update Date
2023-12-14
Business Address
BOLAJI JOHNSON ADESANYA
714 MAIN ST STE 200
KLAMATH FALLS, OR 97601-6010
Phone number: 541-647-1945
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Mailing Address
BOLAJI JOHNSON ADESANYA
714 MAIN ST STE 200
KLAMATH FALLS, OR 97601-6010
Phone number: 541-647-1945
Copy
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