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Individual

MR. ANTHONY VINCENT OLORUNSOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
4525 S LAKESHORE DR, TEMPE, AZ 85282-8339
(623) 806-6864
Mailing address
11211 E SONRISA AVE, MESA, AZ 85212-7079
(623) 806-6864

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP7477
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP7477
AZ

Other

Enumeration date
07/23/2015
Last updated
01/16/2023
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