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1811369424
OMOWUNMI BALOGUN
GLENDALE, CA
NPI
1811369424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003203)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- OMOWUNMI BALOGUN
1717 N VERDUGO RD APT 161
GLENDALE, CA 91208-2934
Phone number: 310-279-2818
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Mailing Address
-- OMOWUNMI BALOGUN
1717 N VERDUGO RD APT 161
GLENDALE, CA 91208-2934
Phone number: 310-279-2818
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