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1356329411
MARY O EJIFOMA
KENNESAW, GA
NPI
1356329411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN120872)
Enumeration Date
2006-01-08
Last Update Date
2015-07-07
Business Address
-- MARY O EJIFOMA N.P.
3070 N MAIN ST NW
KENNESAW, GA 30144-2756
Phone number: 770-420-1092
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Mailing Address
-- MARY O EJIFOMA N.P.
3369 BUFORD HIGHWAY SUITE 810
ATLANTA, GA 30329-3722
Phone number: 404-321-4692
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