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1013489616
JONATHAN ALLEN MENDEZ
MACON, GA
NPI
1013489616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC010577)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
Mr. JONATHAN ALLEN MENDEZ LPC
2607 VINEVILLE AVE STE 107
MACON, GA 31204-0900
Phone number: 478-305-9913
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Mailing Address
Mr. JONATHAN ALLEN MENDEZ LPC
2607 VINEVILLE AVE STE 107
MACON, GA 31204-0900
Phone number: 478-305-9913
Copy
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