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Individual
OLATUNDE OMOLEYE OWOEYE
Active
Individual
OLATUNDE OMOLEYE OWOEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
47608
RI
363LF0000X
Family Nurse Practitioner
Primary
95009059
CA
363LF0000X
Family Nurse Practitioner
APRN01705
RI
Other
Enumeration date
10/12/2017
Last updated
10/19/2018
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