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Josephine Iyabor

NPI 1265742290 · on the registry since 2010 · sole proprietor

Practice

Address
1191 Flamingo Dr
Austell, GA 30168
Phone
(770) 732-6366
Fax
(770) 732-6399

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
372600000X
3747A0650X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia