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1073948139
LORI S MELQUIST
JAMESTOWN, NY
NPI
1073948139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 005865-1)
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
-- LORI S MELQUIST
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-665-1166
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Mailing Address
-- LORI S MELQUIST
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-665-1166
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