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1124754593
JENNA M FULKS
GRAYSLAKE, IL
NPI
1124754593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: IL 070.026739)
Enumeration Date
2022-07-28
Last Update Date
2022-07-28
Business Address
Miss JENNA M FULKS PT, DPT
997 N CORPORATE CIR STE B
GRAYSLAKE, IL 60030-7822
Phone number: 847-223-8001
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Mailing Address
Miss JENNA M FULKS PT, DPT
997 N CORPORATE CIR STE B
GRAYSLAKE, IL 60030-7822
Phone number: 847-223-8001
Copy
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