Individual
OMOWOLEOLA BAKARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1654 W REUNION AVE STE 10B, SOUTH JORDAN, UT 84095-4676
(801) 349-2480
Mailing address
965 E 5290 S, MURRAY, UT 84117-6671
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025099576
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
02/02/2026
Last updated
02/26/2026
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