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Individual

MRS. JENNIFER LEIGH MEMOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1507 E GOLD COAST RD, PAPILLION, NE 68046-4722
(402) 339-6010
Mailing address
7317 N 108TH ST, OMAHA, NE 68142-1109
(402) 972-5890

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
837
NE

Other

Enumeration date
08/05/2011
Last updated
08/05/2011
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