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1063488708
JENNIFER B. SISSOM
SNELLVILLE, GA
NPI
1063488708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 004267)
Enumeration Date
2006-02-23
Last Update Date
2018-03-17
Business Address
JENNIFER B. SISSOM PA
2383 PATE ST N
SNELLVILLE, GA 30078-3250
Phone number: 770-972-4845
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Mailing Address
JENNIFER B. SISSOM PA
1609 MAPMAKER DR
DACULA, GA 30019-7818
Phone number: 404-788-4321
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