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Individual
ADEWUNMI JULIUS BANKOLE
Active
Individual
ADEWUNMI JULIUS BANKOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
710835
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01131600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F403449
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0899062
—
NJ
Enumeration date
08/31/2016
Last updated
04/03/2023
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