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1770002990
GANIAT A GBADEBO
FALLBROOK, CA
NPI
1770002990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95006183)
Enumeration Date
2017-09-19
Last Update Date
2020-01-29
Business Address
GANIAT A GBADEBO NP
1328 S MISSION RD
FALLBROOK, CA 92028-4006
Phone number: 760-451-4720
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Mailing Address
GANIAT A GBADEBO NP
1328 S MISSION RD
FALLBROOK, CA 92028-4006
Phone number:
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