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Individual
BOLAJI S. SOFOLA
Active
Individual
BOLAJI S. SOFOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18035
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102400A
—
OK
01
—
731521343
FEDERAL TAX NUMBER
OK
Enumeration date
04/15/2006
Last updated
01/16/2008
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