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1992926000
CRAIG LEBERN JACKSON
SUWANEE, GA
NPI
1992926000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374T00000X Religious Nonmedical Nursing Personnel
(Licence: GA 148363)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Prof. CRAIG LEBERN JACKSON rn
4297 WYNDAM HILL DR
SUWANEE, GA 30024-6525
Phone number: 404-294-0499
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Mailing Address
Prof. CRAIG LEBERN JACKSON rn
4297 WYNDAM HILL DR
SUWANEE, GA 30024-6525
Phone number: 404-294-0499
Copy