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MR. JEREMY LIKENS CSFA

Certified First Assistant >> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1114457223

Individual Registrant:
MR. JEREMY  LIKENS CSFA
Gender: M
Sole Proprietor

Location and contact information for practice:
5885 CUMMING HWY STE 108 #259 SUGAR HILL, GA 30518 US
Tel: 678-447-5439  Fax: --

Contact information for business:
5885 CUMMING HWY STE108 #259 SUGAR HILL, GA 30518 US
Tel: --  Fax: --

Registration Information:
NPI: 1114457223
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y246ZC0007XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
Certified First Assistant
GA174148

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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