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1053449355
SUSAN LEA PHILLIPS
LAUREL, MS
NPI
1053449355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA1423)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN LEA PHILLIPS PTA
23 MASON ST
LAUREL, MS 39440-4437
Phone number: 601-399-0534
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Mailing Address
Mrs. SUSAN LEA PHILLIPS PTA
926 PAULDING RD
ELLISVILLE, MS 39437-5100
Phone number: 601-580-5027
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