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1710152996
LISA L JANSSEN
GLENVIEW, IL
NPI
1710152996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160001052)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
-- LISA L JANSSEN pta
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-5823
Phone number: 847-998-1188
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Mailing Address
-- LISA L JANSSEN pta
8825 KIMBALL CT
NEWARK, IL 60541-9568
Phone number:
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