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OLUFUNMILOLA OGUNMODEDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3937 IVYWOOD LN, PUEBLO, CO 81005-2551
(719) 553-0111
(833) 918-2238
Mailing address
PO BOX 9000, PUEBLO, CO 81008-9000
(719) 553-0111
(719) 553-2216

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111416
CO
363L00000X
Nurse Practitioner
Primary
APN.0999232
CO
363LF0000X
Family Nurse Practitioner
APN.0999232-NP
CO

Other

Enumeration date
12/06/2006
Last updated
10/23/2024
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