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1407108012
JENNIFER L HODGERSON
JACKSONVILLE, IL
NPI
1407108012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070016328)
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
-- JENNIFER L HODGERSON
1600 W WALNUT ST
JACKSONVILLE, IL 62650-1136
Phone number: 217-245-9541
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Mailing Address
-- JENNIFER L HODGERSON
RR 1 BOX 458
GREENFIELD, IL 62044-9794
Phone number: 217-245-9541
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