BUKOLA DEBORAH OLUSANYA

LOS ANGELES, CA
NPI1598113441
Former NameBUKOLA DEBORAH AWOSANYA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95004381)
Enumeration Date2016-06-01
Last Update Date2016-09-06
Business Address
-- BUKOLA DEBORAH OLUSANYA
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
Mailing Address
-- BUKOLA DEBORAH OLUSANYA
960 W 62ND PL APT. 243
LOS ANGELES, CA 90044-5474
Phone number: 323-440-9196
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