Modupe Adesola

NPI #1184076770 in Fort Sill, Oklahoma

Provider Information

NPI Number
1184076770
Entity Type
Individual
Name
Modupe Adesola
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jul 7, 2016
Last Updated
Oct 3, 2019

Practice Location

Address
4301 WILSON ST
ZIP Code
73503-4472
Phone
(580) 558-8242

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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