Individual
OLUSEGUN OLUTEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5604 E MAIN ST, MESA, AZ 85205-8813
(617) 678-3066
Mailing address
5604 E MAIN ST, MESA, AZ 85205-8813
(617) 678-3066
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
05/11/2024
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