Individual
TINUOLA AGBABIAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7000
Mailing address
10900 S PENN AVE, 1723, OKLAHOMA CITY, OK 73170-4244
(405) 326-3061
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4876
OK
Other
Enumeration date
07/10/2010
Last updated
09/30/2013
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