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1124407929
JENNIFER ANNE UPHAM
ACWORTH, GA
NPI
1124407929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: GA PTA0003392)
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
-- JENNIFER ANNE UPHAM PTA
4216 BRIDLECREEK DR NW
ACWORTH, GA 30101-3872
Phone number: 404-429-4012
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Mailing Address
-- JENNIFER ANNE UPHAM PTA
4216 BRIDLECREEK DR NW
ACWORTH, GA 30101-3872
Phone number: 404-429-4012
Copy
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