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1902244221
ADETOUN FANIYAN
IRVING, TX
NPI
1902244221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO DR.0057219)
Enumeration Date
2013-06-09
Last Update Date
2016-08-26
Business Address
-- ADETOUN FANIYAN
3609 W NORTHGATE DR UNIT 217
IRVING, TX 75062-8433
Phone number: 347-355-3994
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Mailing Address
-- ADETOUN FANIYAN
3609 W NORTHGATE DR UNIT 217
IRVING, TX 75062-8433
Phone number: 347-355-3994
Copy
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