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1023569456
DILLON JENNINGS
CARROLLTON, GA
NPI
1023569456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003676)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- DILLON JENNINGS
1004 BANKHEAD HWY SUITE A5
CARROLLTON, GA 30117-1852
Phone number: 770-834-5609
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Mailing Address
-- DILLON JENNINGS
10608 SERENBE LN
PALMETTO, GA 30268-2287
Phone number: 405-570-1523
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