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Individual
OLUSEUN OLUMIDE WERT
Active
Individual
OLUSEUN OLUMIDE WERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
25MB09317300
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS016482
PA
Other
Enumeration date
07/04/2010
Last updated
06/08/2015
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