Organization
JBORDLEON & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE M BORDLEON (PRESIDENT/OWNER)
(678) 431-0916
Entity
Organization
Contact information
Practice address
1217 CLUB WALK DR NE, ATLANTA, GA 30319-2672
(678) 431-0916
Mailing address
PO BOX 76029, ATLANTA, GA 30358-1029
(678) 431-0916
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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