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1225097124
AMINA JACKSON ISOM
ATLANTA, GA
NPI
1225097124
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Former Name
AMINA JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN063448)
Enumeration Date
2006-03-20
Last Update Date
2010-12-03
Business Address
-- AMINA JACKSON ISOM CRNA
5671 PEACHTREE DUNWOODY RD NE SUITE 680
ATLANTA, GA 30342-5000
Phone number: 404-705-6985
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Mailing Address
-- AMINA JACKSON ISOM CRNA
PO BOX 740209 DEPT 1029
ATLANTA, GA 30374-0209
Phone number: 941-360-1566
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