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Temitope O. Adedolapo

Student in an Organized Health Care Education/Training Program in Dallas, TX. Individual provider (NPI-1).

NPI number1669713640
StatusActive
Last updated in NPPESMar 28, 2023

Details

NPI
1669713640
Entity type
Individual (NPI-1)
Name
Temitope O. Adedolapo
Sex
Male
Sole proprietor
No
Enumeration date
Mar 15, 2013
Certification date
Mar 28, 2023
Last updated
Mar 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
246ZS0410X Specialist/Technologist, Other, Surgical Technologist––

Other names

  • Temitope Adedolapo Fasusi (Former Name)

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-1607

Phone 214-648-3111

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-7201

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