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1063233104
UBI OKIM
RIVERDALE, GA
NPI
1063233104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN152608)
Enumeration Date
2024-10-22
Last Update Date
2024-10-22
Business Address
UBI OKIM
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2615
Phone number: 313-850-0299
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Mailing Address
UBI OKIM
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2615
Phone number: 313-850-0299
Copy
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