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1104040146
MAURICIO S CHUA
RIDGELAND, MS
NPI
1104040146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT3490)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
MAURICIO S CHUA PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
MAURICIO S CHUA PT
324 INDIAN HILLS DR
MERIDIAN, MS 39305-8032
Phone number: 601-681-6935
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