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1992117618
JENNIFER GORDON
THOMASVILLE, GA
NPI
1992117618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA001408)
Enumeration Date
2014-05-29
Last Update Date
2014-05-29
Business Address
-- JENNIFER GORDON PTA
311 N DAWSON ST
THOMASVILLE, GA 31792-5132
Phone number: 229-226-4114
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Mailing Address
-- JENNIFER GORDON PTA
PO BOX 1681
THOMASVILLE, GA 31799-1681
Phone number: 229-226-4114
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