Provider Information for 1073877700
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Dr. OLUBUKOLA ADUKE OKORO M.D
Sex: Female
NPI: 1073877700
Last Updated: 2024-08-01
Certification Date: 2024-08-01
Certification Date: 2024-08-01
Details
Name | Value | ||||||||||||
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NPI | 1073877700 | ||||||||||||
Enumeration Date | 2012-06-27 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 945 STOCKTON DR UNIT 6100 ALLEN, TX 75013-6158 United States Phone: 972-390-7667 | Fax:972-390-1557 | ||||||||||||
Primary Practice Address | 945 STOCKTON DR UNIT 6100 ALLEN, TX 75013-6158 United States Phone: 972-390-7667 | Fax:972-390-1557 | ||||||||||||
Secondary Practice Address(es) | 1105 CENTRAL EXPY N STE 235 | ||||||||||||
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