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1235634635
OLUBUKOLA FUNMI OLATOTO
DECATUR, GA
NPI
1235634635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA 201190)
Enumeration Date
2018-03-27
Last Update Date
2018-08-01
Business Address
OLUBUKOLA FUNMI OLATOTO NP
445 WINN WAY
DECATUR, GA 30030
Phone number: 404-508-7796
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Mailing Address
OLUBUKOLA FUNMI OLATOTO NP
6609 WATERTON AVE SW # 6609
ATLANTA, GA 30331-9447
Phone number: 770-905-3163
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