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Individual
ADETOLA A. OTESILE
Active
Individual
ADETOLA A. OTESILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51553
KY
208M00000X
Hospitalist Physician
Primary
01083034A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100552190
—
KY
Enumeration date
06/23/2015
Last updated
07/01/2020
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