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1811196181
JESSICA NICOLE BRADFORD
ACWORTH, GA
NPI
1811196181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002337)
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
-- JESSICA NICOLE BRADFORD PTA
3459 ACWORTH DUE WEST RD NW SUITE 410
ACWORTH, GA 30101-5819
Phone number: 770-974-7494
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Mailing Address
-- JESSICA NICOLE BRADFORD PTA
1856 BARRINGTON CT
MARIETTA, GA 30066-4911
Phone number: 404-909-7187
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