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Individual

OMOBONIKE OLOWOSUKO

Active
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Individual

OMOBONIKE OLOWOSUKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
05-46887
KS
208100000X
Physical Medicine & Rehabilitation Physician
2968
TN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
334189
LA
208100000X
Physical Medicine & Rehabilitation Physician
H0083162
MD
208100000X
Physical Medicine & Rehabilitation Physician
MED-PHYS-COM-LIC-123
MT

Other

Enumeration date
11/29/2011
Last updated
02/23/2024
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