Individual
JULIUS F ATABONGLEFAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
1160 VIENNA CT, HAMPTON, GA 30228-6450
(678) 707-1380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9574669
FL
Other
Enumeration date
05/22/2022
Last updated
05/22/2022
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