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1063089092
EZEOYIBO JUSTIN OTIWU
AUGUSTA, GA
NPI
1063089092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT015301)
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
EZEOYIBO JUSTIN OTIWU DPT
3205 DEANS BRIDGE RD
AUGUSTA, GA 30906-4208
Phone number: 762-222-1123
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Mailing Address
EZEOYIBO JUSTIN OTIWU DPT
3965 BRADFORD WALK TRL
BUFORD, GA 30519-7840
Phone number: 678-654-4622
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