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1972856557
ADETOKUNBO DIANE DISU
FRESNO, CA
NPI
1972856557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95396890)
Enumeration Date
2012-10-19
Last Update Date
2024-11-05
Business Address
ADETOKUNBO DIANE DISU LPT
4411 E CESAR CHAVEZ BLVD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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Mailing Address
ADETOKUNBO DIANE DISU LPT
1528 MONTE VISTA AVE
MADERA, CA 93637-8960
Phone number: 559-538-1230
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