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Individual

SOLOMON IKEKHHUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 WINOOKI DR, CANTON, GA 30114-3569
(770) 374-4296
Mailing address
50 WINOOKI DR, CANTON, GA 30114-3569
(770) 374-4296

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
01/20/2015
Last updated
01/20/2015
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