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1912024407
JESSICA AMBER DRAPER
HOLLADAY, UT
NPI
1912024407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-278)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
JESSICA AMBER DRAPER P.T.A.
2040 MURRAY HOLLADAY RD
HOLLADAY, UT 84117-5185
Phone number: 801-274-0299
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Mailing Address
JESSICA AMBER DRAPER P.T.A.
4042 VERNON CIR APT C
SLC, UT 84124-4509
Phone number: 801-706-9787
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