IMOSE IDUBOR

DACULA, GA
NPI1194466607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN261495)
Enumeration Date2022-04-06
Last Update Date2022-04-11
Business Address
Mrs. IMOSE IDUBOR NP
1067 IVEY CHASE PL
DACULA, GA 30019-7866
Phone number: 678-670-9626
Mailing Address
Mrs. IMOSE IDUBOR NP
1067 IVEY CHASE PL
DACULA, GA 30019-7866
Phone number: 678-670-9626
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