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1548004955
OMOBOLANLE OGUNSANYA
FORT WORTH, TX
NPI
1548004955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1116829)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
OMOBOLANLE OGUNSANYA PMHNP
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 903-921-9070
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Mailing Address
OMOBOLANLE OGUNSANYA PMHNP
7805 REGENT DR
ARLINGTON, TX 76001-7381
Phone number: 903-921-9070
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