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1003900697
WAYNE P JIMENEZ
MADISON, MS
NPI
1003900697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT0331)
Enumeration Date
2006-10-03
Last Update Date
2019-05-15
Business Address
WAYNE P JIMENEZ PT
464 CHURCH RD STE 400
MADISON, MS 39110-6940
Phone number: 601-650-0002
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Mailing Address
WAYNE P JIMENEZ PT
921 W BEACON ST
PHILADELPHIA, MS 39350-3229
Phone number: 601-650-0002
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