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1780292557
JENNIFER LYNNE CICORA
ATHENS, GA
NPI
1780292557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA 000994)
Enumeration Date
2020-07-17
Last Update Date
2020-07-17
Business Address
Mrs. JENNIFER LYNNE CICORA PTA
775 EPPS BRIDGE PKWY
ATHENS, GA 30606-3350
Phone number: 706-995-7177
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Mailing Address
Mrs. JENNIFER LYNNE CICORA PTA
2450 OLDFIELD DR
BOGART, GA 30622-5410
Phone number: 678-464-1850
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