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1982317764
SHACARYA KATORIA JACKSON
MACON, GA
NPI
1982317764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN254432)
Enumeration Date
2022-12-27
Last Update Date
2024-09-04
Business Address
SHACARYA KATORIA JACKSON APRN
617 CHERRY ST STE A
MACON, GA 31201-2880
Phone number: 478-297-0238
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Mailing Address
SHACARYA KATORIA JACKSON APRN
617 CHERRY ST STE A
MACON, GA 31201-2880
Phone number: 478-297-0238
Copy
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