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Gabriel Ekene Agu

Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).

NPI number1295411981
StatusActive
Last updated in NPPESJun 26, 2023

Details

NPI
1295411981
Entity type
Individual (NPI-1)
Name
Mr. Gabriel Ekene Agu
Sex
Male
Sole proprietor
No
Enumeration date
Jun 26, 2023
Certification date
Jun 26, 2023
Last updated
Jun 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

100 Woodruff Cir Ne Ste P375
Atlanta, GA 30322-1020

Phone 404-727-5655

Mailing address

100 Woodruff Cir Ne Ste P375
Atlanta, GA 30322-1020

Phone 404-727-5655

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