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1609423086
IFEYINWA DORIS OTIJI
LAWRENCEVILLE, GA
NPI
1609423086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN091988)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
IFEYINWA DORIS OTIJI
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
IFEYINWA DORIS OTIJI
1206 YELLOW RIVER DR
LAWRENCEVILLE, GA 30043-8499
Phone number: 301-237-6976
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