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1013368190
KELLY JENSEN
JOLIET, IL
NPI
1013368190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.006882)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
KELLY JENSEN PTA
801 S BRIGGS ST 2ND FLOOR
JOLIET, IL 60433-9591
Phone number: 815-722-1757
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Mailing Address
KELLY JENSEN PTA
801 S BRIGGS ST 2ND FLOOR
JOLIET, IL 60433-9591
Phone number: 815-722-1757
Copy
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