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Individual

EMMANUEL OLUWADARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15640 N 7TH ST STE A1, PHOENIX, AZ 85022-3520
(602) 858-0191
Mailing address
5235 E SOUTHERN AVE STE 106-145, MESA, AZ 85206-3626
(480) 501-0511

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-RNP257887
AZ

Other

Enumeration date
05/21/2025
Last updated
05/21/2025
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