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Individual

MOJISOLA R BALOGUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1326 W HADLEY ST, PHOENIX, AZ 85007-3612
(602) 218-8868
Mailing address
9863 VISTA MEADOWS AVE, LAS VEGAS, NV 89148-5780
(702) 327-0308

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
265256
AZ
363LF0000X
Family Nurse Practitioner
810386
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
265256
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
810386
NV

Other

Enumeration date
01/09/2013
Last updated
08/01/2024
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