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1235795105
KOFOWOROLA USUF
MCDONOUGH, GA
NPI
1235795105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA CN0014211914)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
KOFOWOROLA USUF
2624 CORNWALL DR
MCDONOUGH, GA 30253-6878
Phone number: 443-518-6390
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Mailing Address
KOFOWOROLA USUF
2624 CORNWALL DR
MCDONOUGH, GA 30253-6878
Phone number: 443-518-6390
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