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1346801362
CHISOM CHIJIOKE ODOGWU
STOCKBRIDGE, GA
NPI
1346801362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 9389)
Enumeration Date
2019-06-21
Last Update Date
2024-02-19
Business Address
CHISOM CHIJIOKE ODOGWU
135 N PARK PL STE 101
STOCKBRIDGE, GA 30281-7237
Phone number: 770-758-7493
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Mailing Address
CHISOM CHIJIOKE ODOGWU
135 N PARK PL STE 101
STOCKBRIDGE, GA 30281-7237
Phone number: 770-758-7493
Copy
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