JUSTIN OTIWU

BUFORD, GA
NPI1457626848
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: GA  067-R-0704)
Enumeration Date2012-03-19
Last Update Date2012-03-19
Business Address
-- JUSTIN OTIWU
3965 BRADFORD WALK TRL
BUFORD, GA 30519-7840
Phone number: 770-355-4114
Mailing Address
-- JUSTIN OTIWU
3965 BRADFORD WALK TRL
BUFORD, GA 30519-7840
Phone number: 770-355-4114
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