OMOLOLA BEAIRD

SOUTH BEND, IN
NPI1558960179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: IN  28207413A)
Enumeration Date2020-10-24
Last Update Date2021-02-02
Business Address
OMOLOLA BEAIRD
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619-2645
Phone number: 574-725-7006
Mailing Address
OMOLOLA BEAIRD
PO BOX 746720
ATLANTA, GA 30374-6720
Phone number: 312-733-9730
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