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1548671316
JUDY MARIE JACKSON
REX, GA
NPI
1548671316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: GA 031-01-129-1)
Enumeration Date
2014-05-15
Last Update Date
2014-05-15
Business Address
Ms. JUDY MARIE JACKSON
5941 WILERSON RD.
REX, GA 30273-1506
Phone number: 678-284-1355
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Mailing Address
Ms. JUDY MARIE JACKSON
5941 WILERSON RD. W
REX, GA 30273-1506
Phone number: 678-284-1355
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