DAVID SHANE PRATHER

HAZLEHURST, MS
NPI1063735389
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  3361)
Enumeration Date2010-03-02
Last Update Date2010-03-02
Business Address
-- DAVID SHANE PRATHER
133 PINE ST
HAZLEHURST, MS 39083-2309
Phone number: 601-894-1411
Mailing Address
-- DAVID SHANE PRATHER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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