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1205061173
SHILOH RIDGE ATHLETIC CLUB
CORINTH, MS
NPI
1205061173
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Entity Type
Organization
Authorized Contact
KEVIN BOUTIN
Owner
662-287-5662
Organization Subpart ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
SHILOH RIDGE ATHLETIC CLUB
3303 SHILOH RIDGE RD
CORINTH, MS 38834-9698
Phone number: 662-287-5662
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Mailing Address
SHILOH RIDGE ATHLETIC CLUB
PO BOX 3592
TUPELO, MS 38803-3592
Phone number: 662-287-5662
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