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Organization

PRIME VERITAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. OLAWUNMI YETUNDE OGUN-SEMORE NP-C (NURSE PRACTITIONER)
(770) 895-3787
Entity
Organization

Contact information

Practice address
1889 TRINITY MILL DR, DACULA, GA 30019-1015
(770) 895-3787
Mailing address
1889 TRINITY MILL DR, DACULA, GA 30019-1015
(770) 895-3787

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
GA

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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