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1245720796
DEANNA R JANNUSH
WILSONVILLE, OR
NPI
1245720796
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Former Name
DEANNA R DUTTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.002219)
Enumeration Date
2018-05-10
Last Update Date
2018-05-10
Business Address
MS. DEANNA R JANNUSH
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2040
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Mailing Address
MS. DEANNA R JANNUSH
19834 S EDINBURGH LN
FRANKFORT, IL 60423-6922
Phone number: 708-903-2226
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