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1235477571
JASON ALLEN PEAL
CARROLLTON, GA
NPI
1235477571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: GA 3293)
Enumeration Date
2013-01-22
Last Update Date
2013-01-22
Business Address
Mr. JASON ALLEN PEAL CSA
150 CLINIC AVE 101
CARROLLTON, GA 30117-4401
Phone number: 770-834-0873
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Mailing Address
Mr. JASON ALLEN PEAL CSA
918 CREEK RUN PL
TEMPLE, GA 30179-5435
Phone number: 678-458-7631
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