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1073218871
KIKELOMO M LABIRAN
ATLANTA, GA
NPI
1073218871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA 196042)
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
KIKELOMO M LABIRAN
4174 FORTUNE PT
ATLANTA, GA 30349-1387
Phone number: 404-409-8365
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Mailing Address
KIKELOMO M LABIRAN
4174 FORTUNE PT
ATLANTA, GA 30349-1387
Phone number: 404-409-8365
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