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1578850343
JASON LEE SWAIN
BONAIRE, GA
NPI
1578850343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT010295)
Enumeration Date
2011-06-30
Last Update Date
2011-06-30
Business Address
-- JASON LEE SWAIN
101 STILLWATER CIR
BONAIRE, GA 31005-3857
Phone number: 478-293-1680
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Mailing Address
-- JASON LEE SWAIN
1900 WESLEYAN DR APT 101
MACON, GA 31210-8807
Phone number: 662-312-6911
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