Individual
MR. GBENGA BALOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1225 SUMMIT STREET, LIMA, OH 45801
(419) 979-3177
Mailing address
1225 SUMMIT STREET, LIMA, OH 45801
(419) 979-3177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN330799
OH
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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