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1023103207
MELISSA GRAY CLARK
PHILADELPHIA, MS
NPI
1023103207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT0751)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Mrs. MELISSA GRAY CLARK R. P. T.
1058 HOLLAND AVE
PHILADELPHIA, MS 39350-9121
Phone number: 601-650-9111
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Mailing Address
Mrs. MELISSA GRAY CLARK R. P. T.
10851 ROAD 327
UNION, MS 39365-7215
Phone number: 601-656-0075
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