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Adebowale Alao Adedeji, OWNER/CEO
Health Service Clinic/Center in Grand Prairie, Texas
NPI 1295102309

Adebowale Alao Adedeji is a Health Service Clinic/Center based in Grand Prairie, TX and is specialized in Health Service. Adebowale Alao Adedeji practices in Grand Prairie, TX and has the professional credentials of OWNER/CEO. The NPI Number for Adebowale Alao Adedeji is 1295102309 and holds a License No. 261QH0100X (Texas).

The current practice location address for Adebowale Alao Adedeji is 2613 Hawco Dr Apt 1822, Grand Prairie, TX and can be reached out via phone at 214-705-5047.

Location: 2613 Hawco Dr Apt 1822, Grand Prairie, TX, 75052-7668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295102309
Provider Name
Adebowale Alao Adedeji
Credential
OWNER/CEO
Provider Entity Type
Individual
Gender
Male
Address
2613 Hawco Dr Apt 1822, Grand Prairie, TX, 75052-7668
Phone Number
214-705-5047
Fax Number
Provider Enumeration Date
08/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2613 Hawco Dr Apt 1822
City
Grand Prairie
State
Texas
Zip
75052-7668
Phone Number
214-705-5047
Fax Number
person
Provider Business Mailing Address Details
Address
2613 Hawco Dr Apt 1822
City
Grand Prairie
State
Texas
Zip
75052-7668
Phone Number
214-705-5047
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
261QH0100X (Texas)
Definition
Definition to come...
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