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Individual

AYOOLA GRACE OGEDENGBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1105 S SUNSET DR, CHANDLER, AZ 85286-1872
(480) 531-4348
Mailing address
1105 S SUNSET DR, CHANDLER, AZ 85286-1872
(480) 531-4348

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
242405
AZ

Other

Enumeration date
07/20/2023
Last updated
07/20/2023
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