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1922508050
EBONY L. JASPER
LAWRENCEVILLE, GA
NPI
1922508050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP004108)
Enumeration Date
2018-02-15
Last Update Date
2018-02-15
Business Address
Ms. EBONY L. JASPER
1432 PENHURST DR
LAWRENCEVILLE, GA 30043-8165
Phone number: 678-830-6632
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Mailing Address
Ms. EBONY L. JASPER
1432 PENHURST DR
LAWRENCEVILLE, GA 30043-8165
Phone number: 678-830-6632
Copy
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