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1609247105
JESSICA GROSS
FORT WAYNE, IN
NPI
1609247105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005062A)
Enumeration Date
2015-10-10
Last Update Date
2015-10-10
Business Address
-- JESSICA GROSS
9426 LIMA RD STE A
FORT WAYNE, IN 46818-8681
Phone number: 260-497-0328
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Mailing Address
-- JESSICA GROSS
9426 LIMA RD STE A
FORT WAYNE, IN 46818-8681
Phone number:
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