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1679516173
REBECCA SUZANNE JACKSON
GAINESVILLE, GA
NPI
1679516173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: GA RN136000)
Enumeration Date
2006-06-13
Last Update Date
2013-05-01
Business Address
-- REBECCA SUZANNE JACKSON CNM
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501-3834
Phone number: 770-297-2200
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Mailing Address
-- REBECCA SUZANNE JACKSON CNM
PO BOX 658
GAINESVILLE, GA 30503-0658
Phone number: 770-718-1122
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