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1386407336
MALASIA JACKSON
NEWNAN, GA
NPI
1386407336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-24-324605)
Enumeration Date
2024-02-02
Last Update Date
2024-02-02
Business Address
MALASIA JACKSON RBT
2700 GA-34 BUILDING 100
NEWNAN, GA 30265-4853
Phone number: 470-394-0004
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Mailing Address
MALASIA JACKSON RBT
100 GOVERNORS TRCE STE 101
PEACHTREE CITY, GA 30269-4853
Phone number: 770-268-2798
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