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1730907338
BASIRAT OLADUNNI SHOMUYIWA
LAWRENCEVILLE, GA
NPI
1730907338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN136389)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
BASIRAT OLADUNNI SHOMUYIWA
1115 HERRINGTON RD
LAWRENCEVILLE, GA 30044-7503
Phone number: 678-895-8405
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Mailing Address
BASIRAT OLADUNNI SHOMUYIWA
1115 HERRINGTON RD
LAWRENCEVILLE, GA 30044-7503
Phone number: 678-895-8405
Copy
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