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1679825822
JACKIE KING
AUGUSTA, GA
NPI
1679825822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT001809)
Enumeration Date
2012-10-12
Last Update Date
2012-10-12
Business Address
-- JACKIE KING R,P.T.
3712 EXECUTIVE CENTER DR
AUGUSTA, GA 30907-5095
Phone number: 706-869-7495
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Mailing Address
-- JACKIE KING R,P.T.
3712 EXECUTIVE CENTER DR
AUGUSTA, GA 30907-5095
Phone number: 706-869-7495
Copy
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