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1629309869
JACKIE N. BEAS
LAFAYETTE, IN
NPI
1629309869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 99040802A)
Enumeration Date
2010-01-28
Last Update Date
2010-11-17
Business Address
-- JACKIE N. BEAS PT
1411 S. CREASY LANE 100
LAFAYETTE, IN 47905-7433
Phone number: 765-447-5552
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Mailing Address
-- JACKIE N. BEAS PT
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-449-2732
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