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1053787804
ADAM C MARSHALL
HORN LAKE, MS
NPI
1053787804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5967)
Enumeration Date
2015-08-17
Last Update Date
2015-08-17
Business Address
-- ADAM C MARSHALL PTA
4755 WINESAP DR
HORN LAKE, MS 38637-7276
Phone number: 662-671-5446
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Mailing Address
-- ADAM C MARSHALL PTA
4755 WINESAP DR
HORN LAKE, MS 38637-7276
Phone number: 662-671-5446
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