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1699126326
JAMES A FAGBODUN
TAMPA, FL
NPI
1699126326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2016-06-23
Last Update Date
2016-07-04
Business Address
MR. JAMES A FAGBODUN ADMINISTRATOR
10648 LUCAYA DR
TAMPA, FL 33647-3530
Phone number: 813-230-7628
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Mailing Address
MR. JAMES A FAGBODUN ADMINISTRATOR
10648 LUCAYA DR
TAMPA, FL 33647-3530
Phone number: 813-230-7628
Copy
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