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1699854471
JASON VANAUKEN
STOCKBRIDGE, GA
NPI
1699854471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA GA006800)
Enumeration Date
2006-11-03
Last Update Date
2012-07-18
Business Address
-- JASON VANAUKEN PT
1498 HUDSON BRIDGE RD
STOCKBRIDGE, GA 30281-5018
Phone number: 678-289-0525
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Mailing Address
-- JASON VANAUKEN PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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