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1720587413
SHARON LISA JACKSON
PEACHTREE CITY, GA
NPI
1720587413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN209629)
Enumeration Date
2018-02-07
Last Update Date
2018-04-02
Business Address
SHARON LISA JACKSON
12 EASTBROOK BND
PEACHTREE CITY, GA 30269-1530
Phone number: 770-487-3330
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Mailing Address
SHARON LISA JACKSON
12 EASTBROOK BND
PEACHTREE CITY, GA 30269-1530
Phone number: 770-487-3330
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