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1063664357
ELLEN PYEATT
BROOKHAVEN, MS
NPI
1063664357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA3533)
Enumeration Date
2008-10-17
Last Update Date
2008-10-17
Business Address
-- ELLEN PYEATT
101 MILLS ST
BROOKHAVEN, MS 39601-2521
Phone number: 601-250-4815
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Mailing Address
-- ELLEN PYEATT
1369 AUBURN DR SW
BOGUE CHITTO, MS 39629-8262
Phone number:
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