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1386756500
ALTHEA BRENDA JACKSON
DECATUR, GA
NPI
1386756500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN132942)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
Ms. ALTHEA BRENDA JACKSON RN
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Ms. ALTHEA BRENDA JACKSON RN
1277 GATES CIR SE
ATLANTA, GA 30316-4094
Phone number: 404-244-3726
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