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1154517274
JACQUELINE WIERSMA
TEMPE, AZ
NPI
1154517274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 7437)
Enumeration Date
2007-09-21
Last Update Date
2009-09-15
Business Address
-- JACQUELINE WIERSMA PT
1930 E SOUTHERN AVE
TEMPE, AZ 85282-7518
Phone number: 480-456-0719
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Mailing Address
-- JACQUELINE WIERSMA PT
1930 E SOUTHERN AVE
TEMPE, AZ 85282-7518
Phone number: 480-456-0719
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