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1124232293
MARQUIS STEVENSON
MCCOMB, MS
NPI
1124232293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA2176)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- MARQUIS STEVENSON
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
-- MARQUIS STEVENSON
112 LAKES DR S
OXFORD, MS 38655-9213
Phone number: 601-250-4815
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