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1063095503
BOLATITO OYERONKE OKOUGBO
AVONDALE, AZ
NPI
1063095503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 257217)
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
BOLATITO OYERONKE OKOUGBO NP
10926 W IVORY LN
AVONDALE, AZ 85392-4025
Phone number: 623-977-7644
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Mailing Address
BOLATITO OYERONKE OKOUGBO NP
10926 W IVORY LN
AVONDALE, AZ 85392-4025
Phone number: 623-877-7644
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