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Individual
YETUNDE OGUNBANWO
Active
Individual
YETUNDE OGUNBANWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
614282
NY
207Q00000X
Family Medicine Physician
344099
NY
363LF0000X
Family Nurse Practitioner
Primary
344099
NY
Other
Enumeration date
08/24/2010
Last updated
06/03/2025
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