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1710761069
JACOB CARLSON
AUGUSTA, GA
NPI
1710761069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT016751)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
JACOB CARLSON
1220 W WHEELER PKWY
AUGUSTA, GA 30909-6625
Phone number: 706-721-8623
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Mailing Address
JACOB CARLSON
332 LUCERNE AVE
NORTH AUGUSTA, SC 29841-3656
Phone number: 815-666-7461
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