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1215208434
STEPHANIE MCLARTY
BOONEVILLE, MS
NPI
1215208434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA4505)
Enumeration Date
2012-01-19
Last Update Date
2012-01-19
Business Address
-- STEPHANIE MCLARTY LPTA
200 LONG ST
BOONEVILLE, MS 38829-4306
Phone number: 662-728-6234
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Mailing Address
-- STEPHANIE MCLARTY LPTA
200 LONG ST
BOONEVILLE, MS 38829-4306
Phone number: 662-728-6234
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