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1073904587
YOLANDA TRENETT JACKSON
ATLANTA, GA
NPI
1073904587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002327)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
-- YOLANDA TRENETT JACKSON PTA
400 EMBASSY ROW SUITE 125
ATLANTA, GA 30328-1667
Phone number: 770-225-8421
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Mailing Address
-- YOLANDA TRENETT JACKSON PTA
4201 WEEMS RD
COLUMBUS, GA 31909-3279
Phone number: 706-905-9256
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