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1184408049
JIMMY ENOBABOR
LAWRENCEVILLE, GA
NPI
1184408049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
JIMMY ENOBABOR
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
JIMMY ENOBABOR
244 COMMERCE DR
DECATUR, GA 30030-1966
Phone number: 817-987-3385
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