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1760793475
BESSIE MODUPE FAYOMI
GRAND PRAIRIE, TX
NPI
1760793475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2010-06-28
Last Update Date
2010-06-28
Business Address
Mrs. BESSIE MODUPE FAYOMI R.N., B.S.N
3519 RED MINE LN
GRAND PRAIRIE, TX 75052-8800
Phone number: 972-522-0772
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Mailing Address
Mrs. BESSIE MODUPE FAYOMI R.N., B.S.N
3519 RED MINE LN
GRAND PRAIRIE, TX 75052-8800
Phone number: 972-522-0772
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