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1720571474
ROMANUS C OBIALOR
AUSTELL, GA
NPI
1720571474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA 160724)
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
ROMANUS C OBIALOR
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-3800
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Mailing Address
ROMANUS C OBIALOR
5665 NEW NORTHSIDE DR
ATLANTA, GA 30328-5831
Phone number: 770-843-5870
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