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Jimoh David Afolabi, LPN

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

NPI number1780077263
StatusActive
Last updated in NPPESMar 9, 2015

Details

NPI
1780077263
Entity type
Individual (NPI-1)
Name
Mr. Jimoh David Afolabi
Credential
LPN
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 9, 2015
Last updated
Mar 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse321500NYYes
164W00000X Licensed Practical Nurse26NP07227600NJ

Practice location

74 Caroline Ave
Elmont, NY 11003-5019

Phone 516-395-3674

Mailing address

74 Caroline Ave
Elmont, NY 11003-5019

Phone 516-395-3674

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