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1902646292
DIVINE ACCESS LLC
SUWANEE, GA
NPI
1902646292
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Entity Type
Organization
Authorized Contact
UDU OLADEINDE
Manager
770-983-4048
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-05-25
Last Update Date
2024-06-02
Business Address
DIVINE ACCESS LLC
167 GILLIFLOWER PARK
SUWANEE, GA 30024-6456
Phone number: 770-983-4084
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Mailing Address
DIVINE ACCESS LLC
990 PEACHTREE INDUSTRIAL BLVD P.O.BOX 938
SUWANEE, GA 30024-9998
Phone number: 770-983-4048
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