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1568700979
BOLAJI KEHINDE ADETIBA
DALLAS, TX
NPI
1568700979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 731957)
Enumeration Date
2013-01-18
Last Update Date
2017-12-06
Business Address
-- BOLAJI KEHINDE ADETIBA MSN-ANP
9 MEDICAL PKWY STE 308
DALLAS, TX 75234-7858
Phone number: 972-888-7240
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Mailing Address
-- BOLAJI KEHINDE ADETIBA MSN-ANP
PO BOX 2932
YUMA, AZ 85366-2401
Phone number: 928-276-4477
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