Individual
MS. DEBORAH OYEYEMI AJEWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 577-8537
Mailing address
7750 ATTINGHAM LN, SAINT LOUIS, MO 63119-5470
(314) 366-1401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020042973
MO
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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