VINCENT PAUL JACKSON

ATLANTA, GA
NPI1033471669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy247100000X Radiologic Technologist
(Licence: MN  394412)
Enumeration Date2012-06-11
Last Update Date2012-06-11
Business Address
Mr. VINCENT PAUL JACKSON RT(R)
4950 GLAZE DR
ATLANTA, GA 30360-1702
Phone number: 770-990-6821
Mailing Address
Mr. VINCENT PAUL JACKSON RT(R)
4950 GLAZE DR
ATLANTA, GA 30360-1702
Phone number: 770-990-6821
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