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1104114149
OLUBUKOLA AWE
WATERBURY, CT
NPI
1104114149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2011009356)
Enumeration Date
2011-07-12
Last Update Date
2018-03-17
Business Address
OLUBUKOLA AWE NP
140 GRANDVIEW AVE STE L01
WATERBURY, CT 06708-2500
Phone number: 203-574-4187
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Mailing Address
OLUBUKOLA AWE NP
19201 E VALLEY VIEW PKWY STE G
INDEPENDENCE, MO 64055-6910
Phone number: 816-254-2552
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