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Individual

DR. OLUSEGUN ADEMOLA OGUNLESI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D, M.H.S

Contact information

Practice address
8587 EAST AVENUE, MENTOR, OH 44060-4301
(440) 867-4800
(866) 711-5107
Mailing address
8587 EAST AVENUE, MENTOR, OH 44060-4301
(440) 867-4800
(866) 711-5107

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35086600
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2868599
OH
Enumeration date
04/30/2008
Last updated
02/16/2018
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