Individual
MR. ADEBOWALE FOLORUNSO ODUSOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 MELINDA LN, EDMOND, OK 73012-6536
(405) 301-2489
Mailing address
1300 MELINDA LN, EDMOND, OK 73012-6536
(405) 301-2489
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N083692918
DRIVER LEARNERS PERMIT
OK
Enumeration date
10/17/2014
Last updated
10/17/2014
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