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1659617439
KINGSLEY IGBINOSUN
LAWRENCEVILLE, GA
NPI
1659617439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2012-12-22
Last Update Date
2012-12-22
Business Address
-- KINGSLEY IGBINOSUN
1655 CHASE RIDGE LN
LAWRENCEVILLE, GA 30043-4369
Phone number: 404-431-6829
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Mailing Address
-- KINGSLEY IGBINOSUN
1655 CHASE RIDGE LN
LAWRENCEVILLE, GA 30043-4369
Phone number: 404-431-6829
Copy
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