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1972750073
MELINDA W. JACKSON
NEWNAN, GA
NPI
1972750073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA 002469)
Enumeration Date
2008-08-20
Last Update Date
2017-05-23
Business Address
Mrs. MELINDA W. JACKSON OTR/L
345 SHORELINE CIR
NEWNAN, GA 30263-5940
Phone number: 770-304-3880
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Mailing Address
Mrs. MELINDA W. JACKSON OTR/L
1755 HIGHWAY 34 E STE 1300
NEWNAN, GA 30265-3186
Phone number: 770-304-3880
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