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1578020343
JENNIFER LYNN LINE
CAMARILLO, CA
NPI
1578020343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA PT6515)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
JENNIFER LYNN LINE PTA
1269 PALMER AVE
CAMARILLO, CA 93010-3342
Phone number: 650-450-3809
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Mailing Address
JENNIFER LYNN LINE PTA
1269 PALMER AVE
CAMARILLO, CA 93010-3342
Phone number: 650-450-3809
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