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Individual

DR. ADEOLA OLUFISAYO FAKOLADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2259 LAKE AVE, ASHTABULA, OH 44004-3437
(440) 994-7654
Mailing address
PO BOX 92987, CLEVELAND, OH 44194-2987

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.139307
OH
207Q00000X
Family Medicine Physician
MT209150
PA

Other

Enumeration date
06/17/2015
Last updated
11/28/2023
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