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1871104448
OMOLOLA GLORIA SHOMINURE
SPARKS, MD
NPI
1871104448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD F07202210)
Enumeration Date
2020-08-16
Last Update Date
2020-10-22
Business Address
OMOLOLA GLORIA SHOMINURE NP
909 RIDGEBROOK RD STE 220
SPARKS, MD 21152-9476
Phone number: 443-383-9300
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Mailing Address
OMOLOLA GLORIA SHOMINURE NP
5906 JUSTINA DR
LANHAM, MD 20706-2334
Phone number: 301-906-4499
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