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Individual

MR. OLA ADEBAYO BALOGUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1307 E MILLBROOK RD STE C106, RALEIGH, NC 27609-5476
(919) 271-0517
(800) 608-8907
Mailing address
2116 SPRING FOREST RD, RALEIGH, NC 27615-7533
(919) 271-0517
(800) 608-8907

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NC

Other

Enumeration date
06/28/2007
Last updated
07/08/2007
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