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1497445068
ABIDEMI OMOYEFA
STATEN ISLAND, NY
NPI
1497445068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: NY 510765)
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
ABIDEMI OMOYEFA
1324 FOREST AVE STE 104
STATEN ISLAND, NY 10302-2044
Phone number: 347-791-9818
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Mailing Address
ABIDEMI OMOYEFA
1324 FOREST AVE STE 104
STATEN ISLAND, NY 10302-2044
Phone number: 347-791-9818
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