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1598151037
OYINLOLA ABISOLA PETERSON
RIVERDALE, GA
NPI
1598151037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 7539)
Enumeration Date
2015-04-10
Last Update Date
2020-04-10
Business Address
OYINLOLA ABISOLA PETERSON PA-C
11 UPPER RIVERDALE RD
RIVERDALE, GA 30274
Phone number: 770-991-8199
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Mailing Address
OYINLOLA ABISOLA PETERSON PA-C
5216 ROSEWOOD PL
FAIRBURN, GA 30213-5113
Phone number: 678-662-0554
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