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1184838542
JULIE JACKSON
MONROE, WI
NPI
1184838542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 821-019)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- JULIE JACKSON
516 26TH AVE
MONROE, WI 53566-1531
Phone number: 608-325-9141
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Mailing Address
-- JULIE JACKSON
N1399 DILL RD
BROWNTOWN, WI 53522-9760
Phone number:
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