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Olabisi Avoseh

Licensed Practical Nurse in Laurelton, NY. Individual provider (NPI-1).

NPI number1104079540
StatusActive
Last updated in NPPESOct 29, 2008

Details

NPI
1104079540
Entity type
Individual (NPI-1)
Name
Ms. Olabisi Avoseh
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 29, 2008
Last updated
Oct 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse256318NYYes

Practice location

23218 Merrick Blvd
Laurelton, NY 11413-2115

Phone 718-528-3432

Mailing address

23218 Merrick Blvd
Laurelton, NY 11413-2115

Phone 718-528-3432

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