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Individual

ADETOMIWA OGUNDERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5375
Mailing address
3601 4TH ST, MS 9410, LUBBOCK, TX 79430-0002
(806) 743-6840

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8447
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/15/2014
Last updated
09/13/2018
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