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Individual

DR. CARA JACSKON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1720 PHOENIX BLVD STE 300, COLLEGE PARK, GA 30349-5595
(678) 358-5602
Mailing address
629 CHAMPIONS DR, MCDONOUGH, GA 30253-4284
(678) 358-5602

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006970
GA

Other

Enumeration date
05/29/2019
Last updated
05/29/2019
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