Individual
OLAOLUWATOMI OGUNDIMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 DELL RANGE BLVD, CHEYENNE, WY 82009-5273
(307) 630-4729
Mailing address
7000 HIGHWAY 287, ARLINGTON, TX 76001-2805
(770) 572-4185
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0004607
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1077304
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
50944
WY
Other
Enumeration date
04/23/2022
Last updated
04/15/2024
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