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1043579246
MEISHELLE BOST TYSON
WHITEVILLE, NC
NPI
1043579246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 2970)
Enumeration Date
2012-05-08
Last Update Date
2012-05-08
Business Address
-- MEISHELLE BOST TYSON pta
82 JK POWELL RD
WHITEVILLE, NC 28472-3115
Phone number: 910-499-2563
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Mailing Address
-- MEISHELLE BOST TYSON pta
82 J.K. POWELL ROAD
WHITEVILLE, NC 28472
Phone number: 910-499-2563
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