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1285751354
JENNIFER M WISHAM
ATHENS, GA
NPI
1285751354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT008975)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- JENNIFER M WISHAM PT
665 GAINES SCHOOL RD.
ATHENS, GA 30605
Phone number: 706-369-8115
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Mailing Address
-- JENNIFER M WISHAM PT
2 BLACK OAK CT
CRAWFORD, GA 30630-1900
Phone number:
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