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1700692571
MANISHA JACKSON
AUGUSTA, GA
NPI
1700692571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-24-347846)
Enumeration Date
2024-12-06
Last Update Date
2024-12-06
Business Address
MANISHA JACKSON
1221 GEORGE C WILSON DR
AUGUSTA, GA 30909-4502
Phone number: 706-842-5330
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Mailing Address
MANISHA JACKSON
209 7TH ST FL 3
AUGUSTA, GA 30901-1486
Phone number: 706-842-5330
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