Individual
MRS. BUSURAT KIKELOMO OLADUNJOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(952) 936-1300
Mailing address
3907 EDITH DR, ALBANY, GA 31721-8104
(229) 435-1294
(478) 744-9552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN126090
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194890319
—
GA
Enumeration date
11/22/2006
Last updated
11/04/2020
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