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1841017944
OLABISI FASHUYI FAFORE
WINDER, GA
NPI
1841017944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN297527)
Enumeration Date
2024-09-21
Last Update Date
2024-09-21
Business Address
OLABISI FASHUYI FAFORE
367 RESOURCE PKWY
WINDER, GA 30680-8364
Phone number: 612-227-4763
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Mailing Address
OLABISI FASHUYI FAFORE
1183 LANIER SPRINGS DR
BUFORD, GA 30518-7272
Phone number: 612-227-4763
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