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Individual

DR. OLUFEMI OLUGBOYEGA OGUNGBE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
1512 VISTA VERDE DR, ESCONDIDO, CA 92026-1504
(619) 607-1790

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024187349
VA
367500000X
Certified Registered Nurse Anesthetist
95001580
CA

Other

Enumeration date
09/28/2021
Last updated
07/24/2023
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