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Individual

JUSTIN JANNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3424 E 1000TH RD, CASEY, IL 62420-3848
(217) 932-5156
Mailing address
3424 E 1000TH RD, CASEY, IL 62420-3848
(217) 932-5156

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005719
IL

Other

Enumeration date
06/02/2013
Last updated
06/02/2013
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