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1649955139
ADEMOLA BISIRIYU
PRINCE FREDERICK, MD
NPI
1649955139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R220757)
Enumeration Date
2023-06-21
Last Update Date
2024-08-07
Business Address
ADEMOLA BISIRIYU
489 MAIN ST
PRINCE FREDERICK, MD 20678-3187
Phone number: 410-535-3047
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Mailing Address
ADEMOLA BISIRIYU
489 MAIN ST STE 202
PRINCE FREDERICK, MD 20678-3188
Phone number:
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