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1033409602
TERESA M WHITE
RIDGELAND, MS
NPI
1033409602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MS PTA1061)
Enumeration Date
2011-04-15
Last Update Date
2011-04-15
Business Address
-- TERESA M WHITE PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- TERESA M WHITE PTA
254 DOGWOOD RD
COLUMBUS, MS 39705-5305
Phone number: 662-251-9827
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