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1548956451
IZI PATIENCE AIGBIREMOLEN
JONESBORO, GA
NPI
1548956451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA 2022139349)
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
IZI PATIENCE AIGBIREMOLEN
9735 WINDING WAY LN
JONESBORO, GA 30238-8717
Phone number: 404-369-9612
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Mailing Address
IZI PATIENCE AIGBIREMOLEN
9735 WINDING WAY LN
JONESBORO, GA 30238-8717
Phone number: 404-369-9612
Copy
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