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Individual

BUKOLA OWOLABI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
312 BEACH 48TH ST, FAR ROCKAWAY, FAR ROCKAWAY, NY 11691-1121
(240) 565-5093
Mailing address
312 BEACH 48TH ST, FAR ROCKAWAY, FAR ROCKAWAY, NY 11691-1121
(240) 565-5093

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
691822
NY

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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