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Individual

OLAOLUWA MARY ODOFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
250 CHATEAU DR SW, SUITE 220, HUNTSVILLE, AL 35801-6436
(256) 881-1989
Mailing address
250 CHATEAU DR SW, SUITE 220, HUNTSVILLE, AL 35801-6436
(256) 881-1989

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31854
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/27/2012
Last updated
08/20/2012
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