Individual
IBUKUN ABOSEDE OLAGUNJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2600 WAYLAND RD, BERWYN, PA 19312
(610) 325-2942
Mailing address
2600 WAYLAND RD, BERWYN, PA 19312
(610) 325-2942
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP027500
PA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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