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1003015579
TINA MARIE JENSEN
RUTLAND, VT
NPI
1003015579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VT 041-0000318)
Enumeration Date
2007-07-15
Last Update Date
2007-07-15
Business Address
Ms. TINA MARIE JENSEN PTA
9 HAYWOOD AVE
RUTLAND, VT 05701-4832
Phone number: 802-747-6433
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Mailing Address
Ms. TINA MARIE JENSEN PTA
215 PARKER RD
EAST WALLINGFORD, VT 05742-9690
Phone number: 802-259-2192
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