Individual
OLAJUMOKE BEULAH ADIGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 W GULFPORT ST, BROKEN ARROW, OK 74011-4238
(918) 813-8978
Mailing address
1820 W GULFPORT ST, BROKEN ARROW, OK 74011-4238
(918) 813-8978
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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