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1578074530
JESSICA DYANN FAMBROUGH
WYLIE, TX
NPI
1578074530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2131626)
Enumeration Date
2017-10-18
Last Update Date
2017-10-18
Business Address
JESSICA DYANN FAMBROUGH PTA
611 W BROWN ST STE 101
WYLIE, TX 75098-5816
Phone number: 972-442-5287
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Mailing Address
JESSICA DYANN FAMBROUGH PTA
1200 CORPORATE DR STE 400
BIRMINGHAM, AL 35242-5424
Phone number: 423-238-8930
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