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1629695630
ALLISSAH JEROME
ASHLAND, WI
NPI
1629695630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1510924)
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
ALLISSAH JEROME DPT
1319 BEASER AVE
ASHLAND, WI 54806-3614
Phone number: 715-682-3468
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Mailing Address
ALLISSAH JEROME DPT
14035 N PINE ROCK RD
DRUMMOND, WI 54832-4427
Phone number: 715-580-0019
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