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1104660380
TASHA JACKSON
AUGUSTA, GA
NPI
1104660380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT013040)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
TASHA JACKSON LMT
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909-6677
Phone number: 762-585-4589
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Mailing Address
TASHA JACKSON LMT
2338 TRAVIS PINES DR
AUGUSTA, GA 30906-9428
Phone number: 706-339-4412
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