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1063708824
JESSICA S MADDOCKS
COLUMBUS, GA
NPI
1063708824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-06-21
Last Update Date
2011-06-21
Business Address
-- JESSICA S MADDOCKS
3437 HIAWATHA DR
COLUMBUS, GA 31907-2035
Phone number: 706-617-7419
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Mailing Address
-- JESSICA S MADDOCKS
3437 HIAWATHA DR
COLUMBUS, GA 31907-2035
Phone number: 706-617-7419
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