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Individual

ENIOLA AINA OSIFESO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN CNP

Contact information

Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
4608 W PITTSBURG ST, BROKEN ARROW, OK 74012-5967
(918) 269-1260

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200335
OK

Other

Enumeration date
04/12/2021
Last updated
04/12/2021
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