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1538383419
SALLY JACKSON
KENNESAW, GA
NPI
1538383419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA OT001398)
Enumeration Date
2007-04-12
Last Update Date
2016-08-17
Business Address
Ms. SALLY JACKSON O.T.
5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152-7744
Phone number: 770-630-0053
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Mailing Address
Ms. SALLY JACKSON O.T.
5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152-7744
Phone number: 770-630-0053
Copy
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