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1871006270
OMAR DAVID NIEVES
KENNESAW, GA
NPI
1871006270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA CHIR009929)
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
OMAR DAVID NIEVES
1301 SHILOH RD NW STE 811
KENNESAW, GA 30144-7156
Phone number: 770-940-2255
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Mailing Address
OMAR DAVID NIEVES
228 BROOKHAVEN CT
ACWORTH, GA 30102-2189
Phone number: 770-940-2255
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