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Individual

JENNIFER KABIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
3919 WOODRUFF PARK WAY, BUFORD, GA 30519-8902
(469) 515-1571

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN251200
GA

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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