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Individual

DR. MUTIU OLUSEYI OKANLAWON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
CORNER OF ROUTE12 & 7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 1263, FORT DEFIANCE, AZ 86504-1263

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20174
MD

Other

Enumeration date
08/16/2011
Last updated
08/16/2011
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