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Individual

FAVOR OKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4052 JOSHUA LN, DOUGLASVILLE, GA 30135-2757
(229) 389-5382
Mailing address
4052 JOSHUA LN, DOUGLASVILLE, GA 30135-2757

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN098693
GA

Other

Enumeration date
05/27/2014
Last updated
05/27/2014
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