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1295927713
MICHAEL DEWAYNE RAINES
MAGEE, MS
NPI
1295927713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA3532)
Enumeration Date
2007-08-17
Last Update Date
2007-08-17
Business Address
MICHAEL DEWAYNE RAINES PTA
301 2ND ST SE
MAGEE, MS 39111-3625
Phone number: 601-849-9882
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Mailing Address
MICHAEL DEWAYNE RAINES PTA
301 2ND ST SE
MAGEE, MS 39111-3625
Phone number: 601-849-9882
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