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1174097448
MARIO ANTWAN OWENS
ATLANTA, GA
NPI
1174097448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA F01190896)
Enumeration Date
2019-01-19
Last Update Date
2019-01-19
Business Address
MARIO ANTWAN OWENS NP
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342-1764
Phone number: 678-843-7001
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Mailing Address
MARIO ANTWAN OWENS NP
4150 SERENE WAY
UNION CITY, GA 30291-5153
Phone number: 678-215-9947
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