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1124712740
PHILIP HEINE
JACKSON, MS
NPI
1124712740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT-7550)
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
PHILIP HEINE PT
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
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Mailing Address
PHILIP HEINE PT
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
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