Individual
OLURONKE DEBORAH ESEMOMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 S REED RD STE 213, KOKOMO, IN 46902-3828
(765) 865-6076
(765) 865-6077
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209031013
IL
363LF0000X
Family Nurse Practitioner
Primary
71016704A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
08/18/2023
Last updated
06/19/2025
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