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Individual

OYEWOLE OPAKUNLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
921 FIELDSIDE DR, MATTESON, IL 60443-2917
(708) 691-4978
Mailing address
921 FIELDSIDE DR, MATTESON, IL 60443-2917
(708) 691-4978

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043104618
IL

Other

Enumeration date
02/05/2017
Last updated
02/05/2017
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