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Individual

DR. IDOWU OLUWASEUN AWOSIKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1776DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100097640
KY
Enumeration date
07/28/2009
Last updated
05/19/2016
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