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1184780272
GEOFFREY GAINES KERGOSIEN
BAY ST LOUIS, MS
NPI
1184780272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT0701)
Enumeration Date
2006-12-31
Last Update Date
2007-07-08
Business Address
Mr. GEOFFREY GAINES KERGOSIEN PT
833 HIGHWAY 90 SUITE 2
BAY ST LOUIS, MS 39520-1601
Phone number: 228-463-9030
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Mailing Address
Mr. GEOFFREY GAINES KERGOSIEN PT
2167 MITTEER DR
BAY ST LOUIS, MS 39520-8905
Phone number: 228-466-5679
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