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1457080160
JAKIA ALPHONSE
MARIETTA, GA
NPI
1457080160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
JAKIA ALPHONSE
1519 JOHNSON FERRY RD BLDG 10
MARIETTA, GA 30062-6409
Phone number: 470-207-0390
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Mailing Address
JAKIA ALPHONSE
1106 TREE TERRACE PKWY
AUSTELL, GA 30168-5571
Phone number:
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