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1538724604
OLUWATOSIN A FANIMO
BALTIMORE, MD
NPI
1538724604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R183671)
Enumeration Date
2019-05-04
Last Update Date
2019-05-04
Business Address
OLUWATOSIN A FANIMO
2000 W BALTIMORE ST
BALTIMORE, MD 21223-1558
Phone number: 202-246-3013
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Mailing Address
OLUWATOSIN A FANIMO
12910 N POINT LN
LAUREL, MD 20708-2356
Phone number: 202-246-3013
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