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1376737585
MELISSA ANN JORGENSON
IPSWICH, SD
NPI
1376737585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SD 0232)
Enumeration Date
2007-08-30
Last Update Date
2007-08-30
Business Address
Mrs. MELISSA ANN JORGENSON PTA
617 BLOEMENDAAL DR
IPSWICH, SD 57451-2019
Phone number: 605-426-6622
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Mailing Address
Mrs. MELISSA ANN JORGENSON PTA
617 BLOEMENDAAL DR
IPSWICH, SD 57451-2019
Phone number: 605-426-6622
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