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1851794119
OLUYELE JONATHAN OMIDINA
MARIETTA, GA
NPI
1851794119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011709)
Enumeration Date
2014-10-01
Last Update Date
2014-10-01
Business Address
OLUYELE JONATHAN OMIDINA PT
1205 JOHNSON FERRY RD STE 130
MARIETTA, GA 30068-5418
Phone number: 770-565-3201
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Mailing Address
OLUYELE JONATHAN OMIDINA PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-8907
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