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1033595566
OMOLOLA OTUBAGA
FAYETTEVILLE, GA
NPI
1033595566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN207871)
Enumeration Date
2015-08-06
Last Update Date
2023-04-25
Business Address
OMOLOLA OTUBAGA NP
101 BECKETT LN STE. 304
FAYETTEVILLE, GA 30214-7155
Phone number: 770-703-4448
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Mailing Address
OMOLOLA OTUBAGA NP
5465 HIGHWAY 42 246
ELLENWOOD, GA 30294-3928
Phone number: 470-646-3738
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