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1801167861
KEVIN GRANT JONES
CUMMING, GA
NPI
1801167861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002894)
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
-- KEVIN GRANT JONES PTA
5825 STERLING CT
CUMMING, GA 30040-0582
Phone number: 678-308-3252
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Mailing Address
-- KEVIN GRANT JONES PTA
5825 STERLING CT
CUMMING, GA 30040-0582
Phone number: 678-308-3252
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