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1689916389
BARAQAT ADEWOLE
BRONX, NY
NPI
1689916389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 342303)
Enumeration Date
2013-03-20
Last Update Date
2019-02-20
Business Address
BARAQAT ADEWOLE
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
BARAQAT ADEWOLE
85 W BURNSIDE AVE
BRONX, NY 10453-4015
Phone number: 718-716-4400
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