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1295176840
ELIZABETH ANN SHANKS
DIAMONDHEAD, MS
NPI
1295176840
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Former Name
ELIZABETH SHANKS SURBROOK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS 1154)
Enumeration Date
2013-07-11
Last Update Date
2013-08-06
Business Address
ELIZABETH ANN SHANKS P.T.
4387 LEISURE TIME DR
DIAMONDHEAD, MS 39525-3242
Phone number: 228-255-3533
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Mailing Address
ELIZABETH ANN SHANKS P.T.
1171 OCEAN SPRINGS RD
OCEAN SPRINGS, MS 39564-3421
Phone number: 228-875-4000
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