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1275017675
JACQUELINE LEON
AUSTELL, GA
NPI
1275017675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA002300)
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
JACQUELINE LEON
2130 ANDERSON MILL RD
AUSTELL, GA 30106-1806
Phone number: 770-941-8813
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Mailing Address
JACQUELINE LEON
2981 HOLLOW LN
POWDER SPRINGS, GA 30127-1864
Phone number:
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