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1013460781
JESSICA JACKNOW
FOREST PARK, IL
NPI
1013460781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160003547)
Enumeration Date
2016-07-29
Last Update Date
2016-07-29
Business Address
-- JESSICA JACKNOW
140 LATHROP AVE
FOREST PARK, IL 60130-1067
Phone number: 773-209-5377
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Mailing Address
-- JESSICA JACKNOW
140 LATHROP AVE
FOREST PARK, IL 60130-1067
Phone number:
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