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Individual

DR. OLUBUKOLA A AINA I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-ADULT

Contact information

Practice address
419 W REDWOOD ST STE 300, BALTIMORE, MD 21201-7003
(667) 214-1718
(410) 328-5147
Mailing address
29 S GREENE ST STE 319, BALTIMORE, MD 21201-1504
(667) 214-1734
(410) 706-6976

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R181982
MD
363LA2200X
Adult Health Nurse Practitioner
R181982
MD

Other

Enumeration date
07/21/2021
Last updated
01/05/2022
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