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1750005211
JESSE CHASE
LAWRENCEVILLE, GA
NPI
1750005211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004639)
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
JESSE CHASE PTA
1404 LAWRENCEVILLE SUWANEE RD # A102
LAWRENCEVILLE, GA 30043-4331
Phone number: 678-749-0912
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Mailing Address
JESSE CHASE PTA
548 TRIP ST
GRAYSON, GA 30017-7860
Phone number:
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