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1295030757
GRAY PACE
JACKSON, MS
NPI
1295030757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT2358)
Enumeration Date
2011-01-14
Last Update Date
2011-01-14
Business Address
Mrs. GRAY PACE PT
1190 N STATE ST
JACKSON, MS 39202-2413
Phone number: 601-968-1148
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Mailing Address
Mrs. GRAY PACE PT
PO BOX 23090
JACKSON, MS 39225-3090
Phone number: 601-968-1148
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