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1174888457
PHILIP ANTHONY BICKERT
CORINTH, MS
NPI
1174888457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: TN PRO000000184)
Enumeration Date
2012-07-12
Last Update Date
2013-10-01
Business Address
Mr. PHILIP ANTHONY BICKERT CP
2106S TATE ST
CORINTH, MS 38834-7913
Phone number: 662-795-4555
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Mailing Address
Mr. PHILIP ANTHONY BICKERT CP
PO BOX 2463
CORINTH, MS 38835-2463
Phone number: 662-795-4555
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