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1639687163
OMOLARA OLASIMBO
BALTIMORE, MD
NPI
1639687163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0006739)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
OMOLARA OLASIMBO
6701 N CHARLES ST
BALTIMORE, MD 21204-6808
Phone number: 443-849-2000
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Mailing Address
OMOLARA OLASIMBO
1315 BRETON DR
ELDERSBURG, MD 21784-6137
Phone number: 410-552-8289
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