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1174811590
JESSICA ROSE
SUMMIT, MS
NPI
1174811590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA4858)
Enumeration Date
2011-07-19
Last Update Date
2011-07-19
Business Address
-- JESSICA ROSE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-847-7040
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Mailing Address
-- JESSICA ROSE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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