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Individual

ABIMBOLA A POPOOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
15211 VANOWEN ST, #209, VAN NUYS, CA 91405-3606
(818) 997-1888
Mailing address
15211 VANOWEN ST, #209, VAN NUYS, CA 91405-3606
(818) 997-1888

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004175
CA

Other

Enumeration date
09/23/2016
Last updated
12/06/2016
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