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1609075514
JENNIFER E COBB
PORTAGE, IN
NPI
1609075514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003363A)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
JENNIFER E COBB PTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
JENNIFER E COBB PTA
PO BOX 74
WARSAW, IN 46581-0074
Phone number: 574-551-8460
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