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1982324059
ALISSA KATELYN JACKS
EVANS, GA
NPI
1982324059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
ALISSA KATELYN JACKS
536 GRAND SLAM DR
EVANS, GA 30809-8044
Phone number: 803-397-0761
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Mailing Address
ALISSA KATELYN JACKS
536 GRAND SLAM DR
EVANS, GA 30809-8044
Phone number:
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