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1023661816
IRENE OBIAGERI IBENYENWA
DOUGLASVILLE, GA
NPI
1023661816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 184698)
Enumeration Date
2019-07-20
Last Update Date
2024-04-09
Business Address
IRENE OBIAGERI IBENYENWA FNP-C
6031 FAIRBURN RD
DOUGLASVILLE, GA 30134-2307
Phone number: 770-942-9214
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Mailing Address
IRENE OBIAGERI IBENYENWA FNP-C
195 PARK CHASE LN
DALLAS, GA 30132-3137
Phone number: 404-405-2424
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