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1548429129
GEMMALYN DE JESUS
BURR RIDGE, IL
NPI
1548429129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160003219)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
Mrs. GEMMALYN DE JESUS PTA
6801 HIGH GROVE BLVD
BURR RIDGE, IL 60527-7585
Phone number: 630-424-0932
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Mailing Address
Mrs. GEMMALYN DE JESUS PTA
5840 PERSHING AVE
DOWNERS GROVE, IL 60516-1133
Phone number: 630-810-1054
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