MODUPE ADESOLA

FORT SILL, OK
NPI1184076770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3010425)
Enumeration Date2016-07-07
Last Update Date2019-10-03
Business Address
MODUPE ADESOLA
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 580-558-8242
Mailing Address
MODUPE ADESOLA
1123 ABBEYWOOD RD
LOUISVILLE, KY 40222-4401
Phone number: