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1255999116
ASHLEY DANIELLE FARNUM-JOHNSTON
MCCOMB, MS
NPI
1255999116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MS 5736)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
Mrs. ASHLEY DANIELLE FARNUM-JOHNSTON LPTA
303 MARION AVE
MCCOMB, MS 39648-2707
Phone number: 601-249-4758
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Mailing Address
Mrs. ASHLEY DANIELLE FARNUM-JOHNSTON LPTA
1041 BOYD REEVES RD
JAYESS, MS 39641-7147
Phone number: 601-551-5354
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