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1598819237
JESSICA LYNN MOON
PROVIDENCE, RI
NPI
1598819237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT02043)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mrs. JESSICA LYNN MOON PT
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5020
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Mailing Address
Mrs. JESSICA LYNN MOON PT
354 FRANKLIN ST
MANSFIELD, MA 02048-1659
Phone number: 508-339-8875
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