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1295166502
TANYA K POWELL
SUMMIT, MS
NPI
1295166502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA3623)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
Mrs. TANYA K POWELL PTA, BS
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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Mailing Address
Mrs. TANYA K POWELL PTA, BS
36 PECAN LAKES DRIVE
PETAL, MS 39465
Phone number: 601-307-8839
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