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Individual
DR. OVIGWE MODUPE OLUMIDE I
Active
Individual
DR. OVIGWE MODUPE OLUMIDE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
284548
GA
363LF0000X
Family Nurse Practitioner
284548
GA
363LF0000X
Family Nurse Practitioner
Primary
F03250625
GA
Other
Enumeration date
10/24/2022
Last updated
08/12/2025
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