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BOLANLE OLUBUNMI ADEDOKUN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215510268

Individual Registrant:
 BOLANLE OLUBUNMI ADEDOKUN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2555 FLAT SHOALS RD APT 3011  COLLEGE PARK, GA 30349-4334 US
Tel: 404-451-8537  Fax: --

Contact information for business:
2555 FLAT SHOALS RD APT 3011  COLLEGE PARK, GA 30349-4334 US
Tel: 404-451-8537  Fax: --

Registration Information:
NPI: 1215510268
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN267785

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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