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1720715303
IDRISS OWOLABI AYELARA
DETROIT, MI
NPI
1720715303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0600X Registered Nurse, Gerontology
(Licence: MO 2011000692)
Enumeration Date
2022-08-04
Last Update Date
2022-08-04
Business Address
IDRISS OWOLABI AYELARA
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
IDRISS OWOLABI AYELARA
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Copy
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