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1043886617
JAZMINE JOY-ANN THEODORE
DECATUR, GA
NPI
1043886617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: FL 21957)
Enumeration Date
2021-06-03
Last Update Date
2023-05-08
Business Address
JAZMINE JOY-ANN THEODORE OTR/L
2385 LAWRENCEVILLE HWY SUITE B
DECATUR, GA 30033-8895
Phone number: 404-289-4270
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Mailing Address
JAZMINE JOY-ANN THEODORE OTR/L
1400 MORGAN STANLEY AVE UNIT 433
WINTER PARK, FL 32789-1990
Phone number: 516-782-9905
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