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1275825101
JULIAN RONN WALTERS
JACKSON, MS
NPI
1275825101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4854)
Enumeration Date
2011-05-11
Last Update Date
2016-03-07
Business Address
Mr. JULIAN RONN WALTERS DPT
7273 S SIWELL RD
JACKSON, MS 39272-9776
Phone number: 601-372-8223
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Mailing Address
Mr. JULIAN RONN WALTERS DPT
PO BOX 2153 DEPT 1947
BIRMINGHAM, AL 35287-0001
Phone number: 601-944-1717
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