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Individual
SOLAKUNMI OLUBUNMI EDEVBIE
Active
Individual
SOLAKUNMI OLUBUNMI EDEVBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704207062
MI
363LA2200X
Adult Health Nurse Practitioner
4704207062
MI
363LG0600X
Gerontology Nurse Practitioner
4704207062
MI
Other
Enumeration date
04/03/2018
Last updated
06/14/2021
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