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1871689331
OLUMUYIWA GISANRIN
WILLIAMSBURG, VA
NPI
1871689331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101238858)
Enumeration Date
2006-10-04
Last Update Date
2013-03-27
Business Address
Dr. OLUMUYIWA GISANRIN M.D.
120 MONTICELLO AVE
WILLIAMSBURG, VA 23185-2840
Phone number: 757-564-3627
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Mailing Address
Dr. OLUMUYIWA GISANRIN M.D.
PO BOX 5508
VIRGINIA BEACH, VA 23471-0508
Phone number: 757-340-3489
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