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Dr. Olatunde Hafis Bashorun JR., MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1417707555

Olatunde Hafis Bashorun JR. is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Olatunde Hafis Bashorun JR. practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Olatunde Hafis Bashorun JR. is 1417707555 and holds a License No. (California).

The current practice location address for Olatunde Hafis Bashorun JR. is 402 Dickinson St, San Diego, CA and can be reached out via phone at 619-543-8254.

Location: 402 Dickinson St, San Diego, CA, 92103-6902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417707555
Provider Name
Olatunde Hafis Bashorun JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
402 Dickinson St, San Diego, CA, 92103-6902
Phone Number
619-543-8254
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
402 Dickinson St
City
San Diego
State
California
Zip
92103-6902
Phone Number
619-543-8254
Fax Number
person
Provider Business Mailing Address Details
Address
402 Dickinson St
City
San Diego
State
California
Zip
92103-6902
Phone Number
619-543-8254
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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