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1003197922
MELISSA HARDIN CROCKETT
SALTILLO, MS
NPI
1003197922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA1363)
Enumeration Date
2011-09-06
Last Update Date
2011-09-06
Business Address
MS. MELISSA HARDIN CROCKETT LPTA
115 PARK RIDGE RD
SALTILLO, MS 38866-9390
Phone number: 662-687-2886
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Mailing Address
MS. MELISSA HARDIN CROCKETT LPTA
115 PARK RIDGE RD
SALTILLO, MS 38866-9390
Phone number: 662-687-2886
Copy
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