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1568812683
JACOB JACKSON
DALTON, GA
NPI
1568812683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- JACOB JACKSON
2615 CLEVELAND HWY
DALTON, GA 30721-8160
Phone number: 706-270-5060
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Mailing Address
-- JACOB JACKSON
2615 CLEVELAND HWY
DALTON, GA 30721-8160
Phone number: 706-270-5060
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