Individual
DAMILOLA LAJUBUTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2270 E FRY BLVD, SIERRA VISTA, AZ 85635-2737
(520) 459-7466
Mailing address
440 N HIGHWAY 90 BYP, SUITE B3, SIERRA VISTA, AZ 85635-2294
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14983
CA
152W00000X
Optometrist
Primary
1994
AZ
Other
Enumeration date
08/04/2014
Last updated
12/21/2014
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