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Individual
IBUNKUN OLORUNOJE
Active
Individual
IBUNKUN OLORUNOJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
10313257
NY
363A00000X
Physician Assistant
024382
NY
363A00000X
Physician Assistant
Primary
62386
CA
Other
Enumeration date
02/20/2015
Last updated
02/12/2025
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