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1881653715
IJE EGO OFODILE
NORCROSS, GA
NPI
1881653715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN107027 NP)
Enumeration Date
2006-03-20
Last Update Date
2014-05-13
Business Address
-- IJE EGO OFODILE FNP
3720 DAVINCI CT STE 400
NORCROSS, GA 30092-7625
Phone number: 770-300-3502
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Mailing Address
-- IJE EGO OFODILE FNP
1799 COOPER LAKES DR
GRAYSON, GA 30017-2999
Phone number: 678-478-1093
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