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DAMILOLA EWONUBARI OLUPONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
338 6TH ST STE 101, LEWISTON, ID 83501-2420
(208) 848-8300
(208) 848-8303
Mailing address
203 N WASHINGTON ST STE 300, SPOKANE, WA 99201-0254
(509) 444-8888
(509) 444-7806

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0716
ID
207Q00000X
Family Medicine Physician
OP60328681
WA

Other

Enumeration date
06/29/2010
Last updated
02/10/2022
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