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Individual

TENIOLA OKE

Active
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Individual

TENIOLA OKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
0110011023
VA
363AM0700X
Medical Physician Assistant
Primary
C0009736
MD
363AM0700X
Medical Physician Assistant
PA20002118
DC

Other

Enumeration date
05/05/2023
Last updated
06/09/2025
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