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1003084666
CHRISTINE ANTONIA SHADIE
RIDGELAND, MS
NPI
1003084666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT2328)
Enumeration Date
2008-02-18
Last Update Date
2008-02-18
Business Address
-- CHRISTINE ANTONIA SHADIE PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- CHRISTINE ANTONIA SHADIE PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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