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1811200561
AMY LYNN JACOBSON
KENOSHA, WI
NPI
1811200561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11412-24)
Enumeration Date
2010-07-23
Last Update Date
2012-10-16
Business Address
Mrs. AMY LYNN JACOBSON P.T.
7000 54TH ST
KENOSHA, WI 53144-3751
Phone number: 712-540-7418
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Mailing Address
Mrs. AMY LYNN JACOBSON P.T.
7000 54TH ST
KENOSHA, WI 53144-3751
Phone number: 712-540-7418
Copy
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