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1306572821
FAKAYATU IBIRONKE AGBOOLA
LAWRENCEVILLE, GA
NPI
1306572821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 2021007170)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
FAKAYATU IBIRONKE AGBOOLA
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2396
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Mailing Address
FAKAYATU IBIRONKE AGBOOLA
2209 SWAN LAKE CT
GRAYSON, GA 30017-4222
Phone number: 215-439-2391
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