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1013169663
KINGSLEY EROMOSELE USIANENEH
FAYETTEVILLE, GA
NPI
1013169663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225600000X Dance Therapist
Enumeration Date
2008-10-15
Last Update Date
2008-10-15
Business Address
-- KINGSLEY EROMOSELE USIANENEH
2308 COBBLESTONE BLVD
FAYETTEVILLE, GA 30215-6843
Phone number: 678-516-8594
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Mailing Address
-- KINGSLEY EROMOSELE USIANENEH
2308 COBBLESTONE BLVD
FAYETTEVILLE, GA 30215-6843
Phone number: 678-516-8594
Copy