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1063209864
JACOB WORDEN
ATLANTA, GA
NPI
1063209864
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Other Name
BO WORDEN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-04-23
Last Update Date
2026-07-17
Business Address
JACOB WORDEN
21 ORTHO LANE SOM SUITE/5TH FLOOR
ATLANTA, GA 30329
Phone number: 404-778-2516
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Mailing Address
JACOB WORDEN
21 ORTHO LN
ATLANTA, GA 30329-2315
Phone number:
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