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Individual

IDOWU AWOLUSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(443) 977-0313
Mailing address
3969 WHISPERING MEADOW DR, RANDALLSTOWN, MD 21133-4342
(443) 977-0313

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F04190184
MD
363LF0000X
Family Nurse Practitioner
Primary
R168616
MD

Other

Enumeration date
04/23/2019
Last updated
03/14/2023
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