Douglas Balogun
Douglas Balogun is a Licensed Practical Nurse in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2026
Practice location Address checks out
1962 Pratt StPhiladelphia, PA 19124-2135
Phone: (267) 367-8613
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Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence PN304365 (PA) |
|---|
Record details
| NPI number | 1063364537 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2026 |
| Last updated in NPPES | February 9, 2026 |
| Certification date | February 9, 2026 |
| Mailing address | 1962 Pratt St, Philadelphia, PA 19124-2135 |
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