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Individual

ROY OLAITAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
873 WESTWARD CT SW, MARIETTA, GA 30008-4059
(404) 704-5946
Mailing address
873 WESTWARD CT SW, MARIETTA, GA 30008-4059

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
09/18/2019
Last updated
09/18/2019
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