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1922590454
NTA OPEOLUWA BOCO
SHREVEPORT, LA
NPI
1922590454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
NTA OPEOLUWA BOCO MD
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130
Phone number: 318-626-0434
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Mailing Address
NTA OPEOLUWA BOCO MD
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130
Phone number: 318-626-0434
Copy
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