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1033401823
JOEMAR R GONGON
GREENWOOD, MS
NPI
1033401823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4811)
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
-- JOEMAR R GONGON
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930-7343
Phone number: 662-453-9173
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Mailing Address
-- JOEMAR R GONGON
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930-7343
Phone number: 662-453-9173
Copy
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