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1700054665
ADISA A TIJANI
DALLAS, TX
NPI
1700054665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: TX 0066978)
Enumeration Date
2008-02-13
Last Update Date
2008-02-13
Business Address
-- ADISA A TIJANI
9319 LBJ FWY STE 208G
DALLAS, TX 75243-3450
Phone number: 214-575-0666
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Mailing Address
-- ADISA A TIJANI
PO BOX 741411
DALLAS, TX 75374-1411
Phone number:
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