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1255481131
JENNIFER KATE MCGOWEN
RIDGELAND, MS
NPI
1255481131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA3759)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
MRS. JENNIFER KATE MCGOWEN PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
MRS. JENNIFER KATE MCGOWEN PTA
RR 4 BOX 14
DE KALB, MS 39328-9402
Phone number: 601-743-2415
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