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Individual
OLUBUSOLA GANDONU
Active
Individual
OLUBUSOLA GANDONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
232352
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
232352
GA
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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