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IBUKUN AJOKE FAGBUYI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
13838 S 46TH PL STE 340, PHOENIX, AZ 85044-7805
(480) 597-7903
Mailing address
9429 W OREGON AVE, GLENDALE, AZ 85305-3352
(301) 785-8946

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
266910
AZ

Other

Enumeration date
11/20/2021
Last updated
01/07/2022
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