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1114279791
JENNI HANSROTE
PADUCAH, KY
NPI
1114279791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02856)
Enumeration Date
2012-10-08
Last Update Date
2012-10-08
Business Address
JENNI HANSROTE PTA
5050B VILLAGE SQUARE DR
PADUCAH, KY 42001-9499
Phone number: 270-443-0681
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Mailing Address
JENNI HANSROTE PTA
5050B VILLAGE SQUARE DR
PADUCAH, KY 42001-9499
Phone number: 270-443-0681
Copy
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