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1982762340
JACQUELINE DAWN BISHOP
THOMASVILLE, GA
NPI
1982762340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA001170)
Enumeration Date
2006-12-05
Last Update Date
2010-12-08
Business Address
-- JACQUELINE DAWN BISHOP PTA
311 N DAWSON STREET
THOMASVILLE, GA 31792-5148
Phone number: 229-226-4114
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Mailing Address
-- JACQUELINE DAWN BISHOP PTA
PO BOX 1681
THOMASVILLE, GA 31799-5337
Phone number: 229-226-4114
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