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1760781868
JILLIAN MICHELLE FORD
OMAHA, NE
NPI
1760781868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 615)
Enumeration Date
2011-03-15
Last Update Date
2011-03-15
Business Address
JILLIAN MICHELLE FORD PTA
13424 JOSEPHINE ST
OMAHA, NE 68138-6151
Phone number: 402-672-0378
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Mailing Address
JILLIAN MICHELLE FORD PTA
13424 JOSEPHINE ST
OMAHA, NE 68138-6151
Phone number:
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