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Individual
OLAMIDE C POPOOLA
Active
Individual
OLAMIDE C POPOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500009646
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R248613
MD
Other
Enumeration date
01/08/2024
Last updated
04/20/2026
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