MODUPE MARY OKONOFUA

COLORADO SPRINGS, CO
NPI1215325535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  0001591-C-NP)
Enumeration Date2015-01-09
Last Update Date2019-10-28
Business Address
MODUPE MARY OKONOFUA NP-C
2135 SOUTHGATE RD
COLORADO SPRINGS, CO 80906-2693
Phone number: 719-633-4114
Mailing Address
MODUPE MARY OKONOFUA NP-C
7244 BOREAL DR
COLORADO SPRINGS, CO 80915-3766
Phone number: 817-805-9137
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