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1881214872
ROGER LEE JACKSON
ATLANTA, GA
NPI
1881214872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: GA 40076)
Enumeration Date
2020-04-20
Last Update Date
2020-04-20
Business Address
ROGER LEE JACKSON
713 CLIFTON RD SE
ATLANTA, GA 30316-2229
Phone number: 404-246-5444
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Mailing Address
ROGER LEE JACKSON
713 CLIFTON RD SE
ATLANTA, GA 30316-2229
Phone number: 404-246-5444
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