MARY JOLYNN PENTECOST

HERRIN, IL
NPI1790933869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.002625)
Enumeration Date2008-09-03
Last Update Date2008-09-03
Business Address
MRS. MARY JOLYNN PENTECOST PTA
1901 N. 13TH ST.
HERRIN, IL 62948
Phone number: 618-942-3274
Mailing Address
MRS. MARY JOLYNN PENTECOST PTA
1901 N. 13TH ST.
HERRIN, IL 62948
Phone number: 618-942-3274
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