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1396132171
JAMES DAVID JERNIGAN
VALDOSTA, GA
NPI
1396132171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA 1388)
Enumeration Date
2015-04-20
Last Update Date
2015-04-20
Business Address
-- JAMES DAVID JERNIGAN
3120 N OAK STREET EXT STE C
VALDOSTA, GA 31602-5910
Phone number: 229-896-4559
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Mailing Address
-- JAMES DAVID JERNIGAN
3120 N OAK STREET EXT STE C
VALDOSTA, GA 31602-5910
Phone number: 229-896-4559
Copy
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