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Individual
OLUFOWOBI GBADEBO
Active
Individual
OLUFOWOBI GBADEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
46201
WI
2084P0800X
Psychiatry Physician
054096
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
054096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32497000
—
WI
Enumeration date
10/11/2006
Last updated
07/22/2010
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