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Organization

COMMUNI T

Active
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Organization

COMMUNI T

Active
Other names
Ola-Olu Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ITHOPIA MCKINNEY (EXECUTIVE DIRECTOR)
(678) 851-4153
Entity
Organization

Contact information

Practice address
10485 FOLSOM BVLD, SUITE B, RANCHO CORDOVA, CA 95670
(916) 573-3547
Mailing address
10485 FOLSOM BVLD, SUITE B, RANCHO CORDOVA, CA 95670
(678) 851-4153

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
261QC1500X
Community Health Clinic/Center
Primary
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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