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1215453881
PROSPER I IGBOELI
EVANS, GA
NPI
1215453881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 202500)
Enumeration Date
2017-08-16
Last Update Date
2022-07-21
Business Address
PROSPER I IGBOELI
1417 AYLESBURY DR
EVANS, GA 30809-8214
Phone number: 440-796-7593
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Mailing Address
PROSPER I IGBOELI
1417 AYLESBURY DR
EVANS, GA 30809-8214
Phone number: 440-796-7593
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