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1164121281
CLEMENT C OKONGWU
MABLETON, GA
NPI
1164121281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA 2022139428)
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
CLEMENT C OKONGWU
867 GRAMERCY HILLS LN
MABLETON, GA 30126-7250
Phone number: 551-208-4703
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Mailing Address
CLEMENT C OKONGWU
867 GRAMERCY HILLS LN
MABLETON, GA 30126-7250
Phone number: 551-208-4703
Copy
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