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1811140593
ADEGBOYEGA A OTUBANJO
STATEN ISLAND, NY
NPI
1811140593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 017807)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- ADEGBOYEGA A OTUBANJO
252 MAPLE PKWY
STATEN ISLAND, NY 10303-2460
Phone number: 718-983-1202
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Mailing Address
-- ADEGBOYEGA A OTUBANJO
252 MAPLE PKWY
STATEN ISLAND, NY 10303-2460
Phone number: 718-983-1202
Copy
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