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1417583709
REAGAN OCHIENG MARIENGA
DECATUR, GA
NPI
1417583709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 9730)
Enumeration Date
2020-03-18
Last Update Date
2021-06-02
Business Address
REAGAN OCHIENG MARIENGA PA
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
REAGAN OCHIENG MARIENGA PA
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Copy
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