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1255537965
SCOTT REID RAYBON
RIDGELAND, MS
NPI
1255537965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT2122)
Enumeration Date
2007-06-21
Last Update Date
2007-07-08
Business Address
Mr. SCOTT REID RAYBON OT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
Mr. SCOTT REID RAYBON OT
106 MEADOW CV
CLINTON, MS 39056-5843
Phone number: 601-260-9654
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