Individual
MR. JOHN IDOWU OLUSEYI-OKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
610 FOXPARK DR, CLAREMONT, CA 91711-3632
(909) 267-4522
Mailing address
610 FOXPARK DRIVE, CLAREMONT, CA 91711
(909) 267-4522
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 31572
CA
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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