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1609606029
FATAI OLUGBENGA OBISESAN
STRATFORD, CT
NPI
1609606029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 832968)
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
FATAI OLUGBENGA OBISESAN
250 BOSTON AVE
STRATFORD, CT 06614-5211
Phone number: 203-583-5596
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Mailing Address
FATAI OLUGBENGA OBISESAN
250 BOSTON AVE
STRATFORD, CT 06614-5211
Phone number: 203-583-5596
Copy
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