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1730368085
JACQUELYN T. FOSTER
ATLANTA, GA
NPI
1730368085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 001688)
Enumeration Date
2007-11-02
Last Update Date
2007-11-02
Business Address
Mrs. JACQUELYN T. FOSTER PA
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 404-616-1415
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Mailing Address
Mrs. JACQUELYN T. FOSTER PA
1271 POUNDS LN
CLARKSTON, GA 30021-2830
Phone number: 404-616-1415
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