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1275000101
JESSICA RAE DICKINSON
OSWEGO, NY
NPI
1275000101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 007595-1)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
JESSICA RAE DICKINSON PTA
159 WEST FIRST STREET
OSWEGO, NY 13090
Phone number: 315-342-9575
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Mailing Address
JESSICA RAE DICKINSON PTA
4035 PLUM YEW CIR
LIVERPOOL, NY 13090-1117
Phone number:
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