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1588948798
SUSAN OTANG AYUKOKATA
ATLANTA, GA
NPI
1588948798
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Former Name
SUSAN OTANG ENOW ASHU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH023277)
Enumeration Date
2011-10-06
Last Update Date
2011-10-06
Business Address
-- SUSAN OTANG AYUKOKATA
500 BROOKHAVEN AVE NE
ATLANTA, GA 30319-3291
Phone number: 404-460-1924
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Mailing Address
-- SUSAN OTANG AYUKOKATA
295 WHALEYS LAKE DR
JONESBORO, GA 30238-4872
Phone number: 404-428-5808
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