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1992409544
ABIBAT (WENDY) YEWANDE BALOGUN
MARIETTA, GA
NPI
1992409544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN194681)
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
ABIBAT (WENDY) YEWANDE BALOGUN
1121 JOHNSON FERRY RD
MARIETTA, GA 30068-5425
Phone number: 770-694-6349
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Mailing Address
ABIBAT (WENDY) YEWANDE BALOGUN
1121 JOHNSON FERRY RD
MARIETTA, GA 30068-5425
Phone number: 770-694-6349
Copy
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