AYODELE OKUNOLA MD CORP
Osteopathic Medicine at Sierra Park Rd, Crowley Lake, CA

License number
California A119344
Category
Osteopathic Medicine
Type
Hospitalist
Owner
Name: LORI LABRECQUE
Title: ACCTS MGR
Phone: (702) 453-3799
Address
Address 2
85 Sierra Park Rd, Crowley Lake, CA 93546
PO Box 4102, Sparks, NV 89432
National Provider ID: 1790047942
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Ayodele Okunola MD Corp

Sparks, NV

Registration:
Jun 6, 2012
Addresses:
5750 Vis Palomar Way, Sparks, NV 89436
4975 Rhine Wine Dr, Sparks, NV 89436
State ID:
E0309812012-7
Business type:
Domestic Corporation
Directors:
Olaifa K. Babatunde (Treasurer),Richard A. Esan (Secretary),Ayodele O. Okunola (President),...

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