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Individual

IDARA OYEKANMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNPC-AG

Contact information

Practice address
22281 US HWY 72 WEST, SUITE A, ATHENS, AL 35613-2601
(256) 444-4401
(256) 444-4403
Mailing address
22281 US HIGHWAY 72 STE A, ATHENS, AL 35613-2601

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-138879
AL

Other

Enumeration date
11/29/2020
Last updated
11/29/2020
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