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Individual
BOLAJI FAWUNDU
Active
Individual
BOLAJI FAWUNDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1042708
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1042708
TX
363LA2100X
Acute Care Nurse Practitioner
26NJ00876500
NJ
Other
Enumeration date
11/08/2018
Last updated
09/10/2026
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