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1386064814
AIWANE IBOAYA
COLUMBUS, GA
NPI
1386064814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: GA 82949)
Enumeration Date
2014-04-23
Last Update Date
2019-08-08
Business Address
AIWANE IBOAYA D.O
1900 10TH AVE SUITE # 100
COLUMBUS, GA 31901-3600
Phone number: 706-571-1430
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Mailing Address
AIWANE IBOAYA D.O
2020 PEACHTREE RD NW
ATLANTA, GA 30309-1426
Phone number: 404-352-2020
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