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1528703097
ABIDEMI OLUSANYA
DALLAS, TX
NPI
1528703097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1062198)
Enumeration Date
2022-04-29
Last Update Date
2024-07-11
Business Address
ABIDEMI OLUSANYA Psych-NP
2626 COLE AVE
DALLAS, TX 75204-1083
Phone number: 469-613-2110
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Mailing Address
ABIDEMI OLUSANYA Psych-NP
2626 COLE AVE
DALLAS, TX 75204-1083
Phone number: 469-613-2110
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