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1356566822
JODI JANSEN
EFFINGHAM, IL
NPI
1356566822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- JODI JANSEN
701 E EVERGREEN AVE
EFFINGHAM, IL 62401-3144
Phone number: 217-347-3316
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Mailing Address
-- JODI JANSEN
701 E EVERGREEN AVE
EFFINGHAM, IL 62401-3144
Phone number: 217-347-3316
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