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1861760712
AKINOLA O AKINTADE
TUCKER, GA
NPI
1861760712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 04-143)
Enumeration Date
2011-12-07
Last Update Date
2011-12-07
Business Address
-- AKINOLA O AKINTADE SURGICAL ASSISTANT
2167 NORTHLAKE PKWY STE 106
TUCKER, GA 30084-4103
Phone number: 770-492-8636
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Mailing Address
-- AKINOLA O AKINTADE SURGICAL ASSISTANT
2167 NORTHLAKE PKWY STE 106
TUCKER, GA 30084-4103
Phone number: 770-492-8636
Copy
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