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1245470210
KATHRYN ELIZABETH JACQUES
FORT DEFIANCE, AZ
NPI
1245470210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK PHYP2898)
Enumeration Date
2009-03-03
Last Update Date
2015-08-20
Business Address
Mrs. KATHRYN ELIZABETH JACQUES MPT
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8132
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Mailing Address
Mrs. KATHRYN ELIZABETH JACQUES MPT
4201 TUDOR CENTRE DR
ANCHORAGE, AK 99508-5914
Phone number: 907-729-3300
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