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1851983324
MANEKIA K JACKSON
AUSTELL, GA
NPI
1851983324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
(Licence: GA 20094362)
Enumeration Date
2021-02-06
Last Update Date
2021-02-06
Business Address
MRS. MANEKIA K JACKSON
210 CREEKSIDE CIR
AUSTELL, GA 30168-5532
Phone number: 404-906-3404
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Mailing Address
MRS. MANEKIA K JACKSON
210 CREEKSIDE CIR
AUSTELL, GA 30168-5532
Phone number: 404-963-6148
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