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1891052619
BEVERLY L JACKSON
MCDONOUGH, GA
NPI
1891052619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2012-04-18
Last Update Date
2012-04-18
Business Address
-- BEVERLY L JACKSON OTR/L
1860 PENNSYLVANIA AVE
MCDONOUGH, GA 30253-9117
Phone number: 678-462-1342
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Mailing Address
-- BEVERLY L JACKSON OTR/L
709 CRESCENT CIR
CANTON, GA 30115-4772
Phone number:
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