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1588260004
OMATOLA GORDON-ROSE
DECATUR, GA
NPI
1588260004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
Mrs. OMATOLA GORDON-ROSE
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-294-3275
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Mailing Address
Mrs. OMATOLA GORDON-ROSE
445 WINN WAY PO BOX 987
DECATUR, GA 30031
Phone number: 404-294-3275
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