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1174725147
JENNIFER SUE WYLIE
PADUCAH, KY
NPI
1174725147
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Former Name
JENNIFER SUE BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 000999)
Enumeration Date
2007-06-01
Last Update Date
2007-07-09
Business Address
Mrs. JENNIFER SUE WYLIE P.T.
121 BYRON DR
PADUCAH, KY 42003-0963
Phone number: 270-898-2289
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Mailing Address
Mrs. JENNIFER SUE WYLIE P.T.
121 BYRON DR
PADUCAH, KY 42003-0963
Phone number: 270-898-2289
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