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Individual

OLUMUYIWA ABOLADE ESURUOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1818 ALBION ST, NASHVILLE, TN 37208-2918
(615) 341-4397
Mailing address
1818 ALBION ST, NASHVILLE, TN 37208-2918
(615) 341-4397

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090986
MI
207R00000X
Internal Medicine Physician
Primary
44031
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1507516
TN
Enumeration date
08/06/2007
Last updated
01/05/2010
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