AYODEJI BAMIDELE OLAWALE

BRIDGEPORT, CT
NPI1598395725
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CT  10362)
Additional Taxonomies363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MD  R210564)
Enumeration Date2020-01-15
Last Update Date2022-09-06
Business Address
MR. AYODEJI BAMIDELE OLAWALE PMHNP
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3709
Mailing Address
MR. AYODEJI BAMIDELE OLAWALE PMHNP
9510 CAVEAT CT
RANDALLSTOWN, MD 21133-4662
Phone number: 301-905-2947
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