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1851885271
STEPHANIE JACKSON
MUNSTER, IN
NPI
1851885271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002692A)
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
STEPHANIE JACKSON PTA
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number: 219-836-1600
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Mailing Address
STEPHANIE JACKSON PTA
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number: 219-836-1600
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