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1194053322
TRAVIS JACKSON
COLUMBUS, GA
NPI
1194053322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2009-11-30
Last Update Date
2009-11-30
Business Address
TRAVIS JACKSON
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5764
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Mailing Address
TRAVIS JACKSON
3802 ARMOUR AVE APT. 1
COLUMBUS, GA 31904-5265
Phone number: 706-593-1611
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