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1225488281
LA'TORIA EVANS
WIGGINS, MS
NPI
1225488281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA 4590)
Enumeration Date
2016-06-20
Last Update Date
2019-10-29
Business Address
LA'TORIA EVANS LPTA
1434 CENTRAL AVE E
WIGGINS, MS 39577-9602
Phone number: 601-928-1889
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Mailing Address
LA'TORIA EVANS LPTA
1436 CENTRAL AVE E
WIGGINS, MS 39577-9602
Phone number:
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