EMMANUEL D DAFIVBIRORO

STONE MOUNTAIN, GA
NPI1215633912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: GA  RN154440)
Enumeration Date2023-02-03
Last Update Date2023-02-03
Business Address
EMMANUEL D DAFIVBIRORO APRN
6297 ROBINS TRCE
STONE MOUNTAIN, GA 30087-6537
Phone number: 770-413-1424
Mailing Address
EMMANUEL D DAFIVBIRORO APRN
6297 ROBINS TRCE
STONE MOUNTAIN, GA 30087-6537
Phone number: 770-413-1424
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