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1104333897
JESSICA ANN MENTRUP
AIKEN, SC
NPI
1104333897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 8884)
Enumeration Date
2018-01-04
Last Update Date
2018-03-17
Business Address
JESSICA ANN MENTRUP PT
399 SILVER BLUFF RD STE B
AIKEN, SC 29803-6007
Phone number: 803-644-4264
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Mailing Address
JESSICA ANN MENTRUP PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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