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1114568847
KATIE ALYSSA JENKINS
VALDOSTA, GA
NPI
1114568847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET002847)
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
KATIE ALYSSA JENKINS
2704 N OAK ST BLDG A2
VALDOSTA, GA 31602-5900
Phone number: 229-253-1009
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Mailing Address
KATIE ALYSSA JENKINS
2704 N OAK ST BLDG A2
VALDOSTA, GA 31602-5900
Phone number: 229-253-1009
Copy
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