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1801036819
JESSICA L SUPER
PALM DESERT, CA
NPI
1801036819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT35434)
Enumeration Date
2009-03-03
Last Update Date
2016-03-02
Business Address
-- JESSICA L SUPER PT, DPT, CSCS
44651 VILLAGE CT STE 120
PALM DESERT, CA 92260-3823
Phone number: 760-501-6655
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Mailing Address
-- JESSICA L SUPER PT, DPT, CSCS
44651 VILLAGE CT STE 120
PALM DESERT, CA 92260-3823
Phone number: 760-501-6655
Copy
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