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1457429011
AMANDA Z. JACKSON
DECATUR, GA
NPI
1457429011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 002496)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Mrs. AMANDA Z. JACKSON O.T.
575 DEKALB INDUSTRIAL WAY SUITE 103
DECATUR, GA 30030-1756
Phone number: 404-296-8511
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Mailing Address
Mrs. AMANDA Z. JACKSON O.T.
2650 WEIGELIA RD NE
ATLANTA, GA 30345-3969
Phone number: 404-633-9955
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