OLUSHOLA A. BALOGUN

GRAND PRAIRIE, TX
NPI1649026998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1000117)
Enumeration Date2024-04-27
Last Update Date2024-09-06
Business Address
OLUSHOLA A. BALOGUN NP
811 W JEFFERSON ST
GRAND PRAIRIE, TX 75051-1645
Phone number: 214-662-2675
Mailing Address
OLUSHOLA A. BALOGUN NP
811 W JEFFERSON ST
GRAND PRAIRIE, TX 75051-1645
Phone number: 214-662-2675
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