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ADEMOLA ADESOLA OGUNRUKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2111
Mailing address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2111

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01045500
NJ

Other

Enumeration date
08/12/2020
Last updated
11/03/2025
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