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Individual
OLUSADE O FAKOLADE
Active
Individual
OLUSADE O FAKOLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
71013601A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71013601A
IN
Other
Enumeration date
02/17/2023
Last updated
06/01/2023
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