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1780437103
JOHANNA JACKSON
ATLANTA, GA
NPI
1780437103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
JOHANNA JACKSON
285 W WIEUCA RD NE
ATLANTA, GA 30342-3321
Phone number: 404-998-3724
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Mailing Address
JOHANNA JACKSON
285 W WIEUCA RD NE
ATLANTA, GA 30342-3321
Phone number: 404-998-3724
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