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1306215330
JESSICA THELEN
LOUISVILLE, KY
NPI
1306215330
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Former Name
JESSICA BOWMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: KY 3497)
Enumeration Date
2015-09-21
Last Update Date
2015-09-21
Business Address
JESSICA THELEN
1520 BAXTER AVE
LOUISVILLE, KY 40205-1009
Phone number: 502-451-6200
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Mailing Address
JESSICA THELEN
1520 BAXTER AVE
LOUISVILLE, KY 40205-1009
Phone number: 502-451-6200
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