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1215759097
TANESHA JACKSON
HIRAM, GA
NPI
1215759097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2024-10-31
Last Update Date
2024-10-31
Business Address
Mrs. TANESHA JACKSON
319 LANIER CT
HIRAM, GA 30141-2072
Phone number: 470-962-7121
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Mailing Address
Mrs. TANESHA JACKSON
319 LANIER CT
HIRAM, GA 30141-2072
Phone number: 470-962-7121
Copy
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