DEBORAH JACKSON

LAWRENCEVILLE, GA
NPI1780080929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  001558)
Enumeration Date2014-11-17
Last Update Date2014-11-17
Business Address
-- DEBORAH JACKSON COTA/L
280 PINE FOREST DR
LAWRENCEVILLE, GA 30046-6032
Phone number: 404-593-8502
Mailing Address
-- DEBORAH JACKSON COTA/L
280 PINE FOREST DR
LAWRENCEVILLE, GA 30046
Phone number: 404-593-8502
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