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1225396252
COREY WHITE
JACKSON, MS
NPI
1225396252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA4900)
Enumeration Date
2012-04-27
Last Update Date
2012-04-27
Business Address
COREY WHITE PTA
1190 N STATE ST PT DEPARTMENT
JACKSON, MS 39202-2413
Phone number: 601-968-1148
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Mailing Address
COREY WHITE PTA
1190 N STATE ST PT DEPARTMENT
JACKSON, MS 39202-2413
Phone number: 601-968-1148
Copy
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