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Individual

OLAJUMOKE ADEMOLA ADETUNJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
43263 CANAL CREEK PL, LEESBURG, VA 20176-3846
(703) 999-7074
Mailing address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(330) 758-4515
(330) 758-2862

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024171071
VA
363LF0000X
Family Nurse Practitioner
0024171071
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024171071
VA

Other

Enumeration date
09/23/2013
Last updated
02/14/2023
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