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1780187138
BOLANLE BASIRAT OLAYIWOLE
DALLAS, TX
NPI
1780187138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TX AP136921)
Enumeration Date
2018-03-12
Last Update Date
2022-01-12
Business Address
MRS. BOLANLE BASIRAT OLAYIWOLE PMHNP
3330 S LANCASTER RD
DALLAS, TX 75216-4531
Phone number: 214-743-1200
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Mailing Address
MRS. BOLANLE BASIRAT OLAYIWOLE PMHNP
3330 S LANCASTER RD
DALLAS, TX 75216-4531
Phone number: 214-371-6639
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