Individual
OYEFUNKE ABIDEMI OGUNBANWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 NW 181ST ST, EDMOND, OK 73012-6824
(405) 250-5706
Mailing address
13605 KESWICK LN, YUKON, OK 73099-4030
(405) 694-1313
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
L0064819
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L0064819
LICENSED PRACTICAL NURSE
OK
Enumeration date
09/01/2016
Last updated
09/01/2016
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