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1699349357
TIFFANY BASS-JACKSON
AUGUSTA, GA
NPI
1699349357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA APC005892)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
Ms. TIFFANY BASS-JACKSON APC
4389 W MAYSFIELD DR STE 100
AUGUSTA, GA 30909-9648
Phone number: 706-496-2856
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Mailing Address
Ms. TIFFANY BASS-JACKSON APC
4389 W MAYSFIELD DR STE 100
AUGUSTA, GA 30909-9648
Phone number: 706-496-2856
Copy
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