Individual
OLUBUKOLA AWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
140 GRANDVIEW AVE STE L01, WATERBURY, CT 06708-2500
(203) 574-4187
(203) 575-2153
Mailing address
19201 E VALLEY VIEW PKWY, STE G, INDEPENDENCE, MO 64055-6910
(816) 254-2552
(816) 833-4155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011009356
MO
Other
Enumeration date
07/12/2011
Last updated
03/17/2018
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