JOEMAR R GONGON

GREENWOOD, MS
NPI1033401823
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT4811)
Enumeration Date2011-05-11
Last Update Date2011-05-11
Business Address
-- JOEMAR R GONGON
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930-7343
Phone number: 662-453-9173
Mailing Address
-- JOEMAR R GONGON
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930-7343
Phone number: 662-453-9173
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