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Individual

AFOLASADE A ADEYEMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
154 TOWLER SHOALS DR, LOGANVILLE, GA 30052
(678) 228-0304
Mailing address
154 TOWLER SHOALS DR, LOGANVILLE, GA 30052-6722
(678) 228-0304

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
08/06/2018
Last updated
08/11/2018
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