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1336190776
ISMAILU O AGBAJE
NEWNAN, GA
NPI
1336190776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: GA 72872)
Enumeration Date
2006-05-12
Last Update Date
2020-10-08
Business Address
ISMAILU O AGBAJE PhD MD
2101 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265-2406
Phone number: 812-272-4497
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Mailing Address
ISMAILU O AGBAJE PhD MD
PO BOX 73200
NEWNAN, GA 30271-3200
Phone number: 812-272-4497
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