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1215310115
DONALD LEE JACKSON
WATKINSVILLE, GA
NPI
1215310115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: GA APC004843)
Enumeration Date
2015-07-09
Last Update Date
2015-07-09
Business Address
-- DONALD LEE JACKSON
1030 VILLAGE DR STE B
WATKINSVILLE, GA 30677-6004
Phone number: 706-310-9046
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Mailing Address
-- DONALD LEE JACKSON
1191 CHRISTIAN DR
WATKINSVILLE, GA 30677-7009
Phone number:
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