Individual
RAPHAEL ADEBUSOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 N WESTERN AVE, OKLAHOMA CITY, OK 73118-4019
(405) 810-8677
Mailing address
2021 ALAMEDA ST, APT. 314, NORMAN, OK 73071-2173
(973) 342-0418
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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