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1518590744
OCTAVIA RAQUEL HOLLOWAY-FREEMAN
STATESBORO, GA
NPI
1518590744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: GA 184049)
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
OCTAVIA RAQUEL HOLLOWAY-FREEMAN NP-C
301 DENMARK ST
STATESBORO, GA 30458-5208
Phone number: 912-996-3943
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Mailing Address
OCTAVIA RAQUEL HOLLOWAY-FREEMAN NP-C
301 DENMARK ST
STATESBORO, GA 30458-5208
Phone number: 913-996-3943
Copy
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