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1972735223
FADEKE MIKOKU
BROOKLYN, NY
NPI
1972735223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013227)
Enumeration Date
2009-08-20
Last Update Date
2014-02-04
Business Address
-- FADEKE MIKOKU
1545 ATLANTIC AVE
BROOKLYN, NY 11213-1122
Phone number: 718-613-4444
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Mailing Address
-- FADEKE MIKOKU
452 INGRAM AVE
STATEN ISLAND, NY 10314-4416
Phone number: 718-619-5530
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