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1225872153
JORDAN WISENBAKER
PEACHTREE CITY, GA
NPI
1225872153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT017135)
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
JORDAN WISENBAKER
331 COMMERCE DR
PEACHTREE CITY, GA 30269-3516
Phone number: 770-631-0400
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Mailing Address
JORDAN WISENBAKER
331 COMMERCE DR
PEACHTREE CITY, GA 30269-3516
Phone number: 770-631-0400
Copy
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