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1396356614
CHUKWUMA JORDAN OKAFOR
MARIETTA, GA
NPI
1396356614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA002628)
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
CHUKWUMA JORDAN OKAFOR COTA/L
3201 WINDCLIFF DR SE
MARIETTA, GA 30067-3814
Phone number: 931-494-7920
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Mailing Address
CHUKWUMA JORDAN OKAFOR COTA/L
3201 WINDCLIFF DR SE
MARIETTA, GA 30067-3814
Phone number: 931-494-7920
Copy
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