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1235738642
JESSICA MICHELLE LANE
SOMERSET, KY
NPI
1235738642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02740)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
JESSICA MICHELLE LANE PTA
2441 S HIGHWAY 27
SOMERSET, KY 42501-2935
Phone number: 606-677-4068
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Mailing Address
JESSICA MICHELLE LANE PTA
2441 S HIGHWAY 27
SOMERSET, KY 42501-2935
Phone number: 606-677-4068
Copy
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