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1023294121
JESSICA SUE CHAVEZ
TWENTYNINE PALMS, CA
NPI
1023294121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 6653)
Enumeration Date
2008-01-18
Last Update Date
2008-01-18
Business Address
Mrs. JESSICA SUE CHAVEZ PTA
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277-2356
Phone number: 760-367-1743
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Mailing Address
Mrs. JESSICA SUE CHAVEZ PTA
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277-2356
Phone number: 760-367-1743
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