FREEBORN O UKPEDE

DECATUR, GA
NPI1770521668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN181217)
Enumeration Date2006-06-03
Last Update Date2013-02-20
Business Address
-- FREEBORN O UKPEDE CRNA
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 678-514-1991
Mailing Address
-- FREEBORN O UKPEDE CRNA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839
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