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Individual

DR. IDOWU OLUWASEUN AWOSIKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
240 WAL MART WAY, STE 5, MAYSVILLE, KY 41056-7516
(606) 759-0030
(606) 759-0030
Mailing address
240 WAL MART WAY, STE 5, MAYSVILLE, KY 41056-7516
(606) 759-0030
(606) 759-0030

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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