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1760861637
THOMAS EDWARD JACKSON
DACULA, GA
NPI
1760861637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
-- THOMAS EDWARD JACKSON PT
3625 BRASELTON HWY STE 204
DACULA, GA 30019-1014
Phone number: 770-932-9521
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Mailing Address
-- THOMAS EDWARD JACKSON PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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