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1003358383
JESSICA FOX
WILSONVILLE, OR
NPI
1003358383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE010994)
Enumeration Date
2016-11-17
Last Update Date
2016-11-17
Business Address
-- JESSICA FOX PTA
25117 SW PARKWAY AVE SUITE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2040
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Mailing Address
-- JESSICA FOX PTA
21937 PHELPS RD
MEADVILLE, PA 16335-5559
Phone number: 814-573-7460
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