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1497885958
JENNIFER WILLSON
CORBIN, KY
NPI
1497885958
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Former Name
JENNIFER STANFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 004330)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- JENNIFER WILLSON PT
383 CORBIN CENTER DRIVE
CORBIN, KY 40701
Phone number: 606-526-2919
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Mailing Address
-- JENNIFER WILLSON PT
55 TOPAZ CT
BARBOURVILLE, KY 40906-7265
Phone number: 606-526-2919
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