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1780351106
BRYANNA JEPSEN
LOUISVILLE, KY
NPI
1780351106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A04310)
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
BRYANNA JEPSEN PTA
8800 SMYRNA PKWY
LOUISVILLE, KY 40228-2364
Phone number: 502-694-2956
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Mailing Address
BRYANNA JEPSEN PTA
4017 BALLARD WOODS DR
SMITHFIELD, KY 40068-9324
Phone number: 502-718-3670
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