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TOLULOPE DADA ARNP

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

Registrant NPI Number: 1124418728

Individual Registrant:
 TOLULOPE  DADA ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
611 W UNION ST  BENSON, AZ 85602-6718 US
Tel: 520-586-0800  Fax: 520-586-6104

Contact information for business:
1425 S US 301  SUMTERVILLE, FL 33585-5141 US
Tel: 352-793-5900  Fax: --

Registration Information:
NPI: 1124418728
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLARNP 9356454
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AZAP9915

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
014272200FL05




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