Individual
OMOBOLAWA OREOLUWA OLAGOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 KERNERSVILLE MEDICAL PKWY STE 201, KERNERSVILLE, NC 27284-7156
(336) 515-7440
(336) 515-7449
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011244
NC
Other
Enumeration date
06/28/2018
Last updated
03/17/2022
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