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1942642657
JENNIFER M VON ANTZ
DIAMONDHEAD, MS
NPI
1942642657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT3339)
Enumeration Date
2013-07-23
Last Update Date
2017-10-18
Business Address
JENNIFER M VON ANTZ PT
5427 GEX RD SUITE B
DIAMONDHEAD, MS 39525-3208
Phone number: 228-388-5714
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Mailing Address
JENNIFER M VON ANTZ PT
251 JOHNSTON ST SE STE 200
DECATUR, AL 35601-2515
Phone number: 256-350-1764
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