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1700941341
JENNETTE H CROCKER
MARIETTA, GA
NPI
1700941341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 002656)
Enumeration Date
2006-12-26
Last Update Date
2007-07-09
Business Address
-- JENNETTE H CROCKER PT
1407 BROOKCLIFF DR
MARIETTA, GA 30062-4852
Phone number: 770-578-4331
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Mailing Address
-- JENNETTE H CROCKER PT
1407 BROOKCLIFF DR
MARIETTA, GA 30062-4852
Phone number: 770-578-4331
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