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1588170013
CHINETA JACKSON
COVINGTON, GA
NPI
1588170013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: GA RN248343)
Enumeration Date
2017-12-20
Last Update Date
2017-12-20
Business Address
CHINETA JACKSON
175 KIRKLAND RD
COVINGTON, GA 30016-3317
Phone number: 678-209-2555
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Mailing Address
CHINETA JACKSON
175 KIRKLAND RD
COVINGTON, GA 30016-3317
Phone number:
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