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1093355752
ANTONIO MCCALL
SOUTHAVEN, MS
NPI
1093355752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5057)
Enumeration Date
2020-01-10
Last Update Date
2020-01-10
Business Address
ANTONIO MCCALL
2575 RUSSUM DR
SOUTHAVEN, MS 38672-6564
Phone number: 901-649-2021
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Mailing Address
ANTONIO MCCALL
2575 RUSSUM DR
SOUTHAVEN, MS 38672-6564
Phone number: 901-649-2021
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