Individual
THEOPHILUS AKINOLA SANGODELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3219 CLIFTON AVE STE 305, CINCINNATI, OH 45220-3047
(513) 346-1270
(513) 489-1526
Mailing address
3219 CLIFTON AVE STE 305, CINCINNATI, OH 45220-3047
(513) 346-1270
(513) 489-1526
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0029670
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11014429
FL
Other
Enumeration date
07/21/2021
Last updated
01/30/2023
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