MOFOLUWASO IBIWOYE

LONGVIEW, TX
NPI1952976292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10075219)
Enumeration Date2021-05-20
Last Update Date2021-10-28
Business Address
MOFOLUWASO IBIWOYE MD
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601-5595
Phone number: 903-315-5600
Mailing Address
MOFOLUWASO IBIWOYE MD
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601-5595
Phone number: 903-315-5171
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