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1639668809
JESSICA LYNN COUNTRYMAN
SOMERSET, KY
NPI
1639668809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A01847)
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
JESSICA LYNN COUNTRYMAN PTA
105 COLLEGE ST
SOMERSET, KY 42501-1307
Phone number: 606-677-2636
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Mailing Address
JESSICA LYNN COUNTRYMAN PTA
PO BOX 1659
SOMERSET, KY 42502-1659
Phone number: 606-677-2636
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