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1306263793
AMY GREEN
VICKSBURG, MS
NPI
1306263793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4965)
Enumeration Date
2014-03-24
Last Update Date
2014-03-24
Business Address
-- AMY GREEN DPT
1901-A MISSION 66
VICKSBURG, MS 39180
Phone number: 601-638-4076
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Mailing Address
-- AMY GREEN DPT
PO BOX 822394
VICKSBURG, MS 39182-2394
Phone number:
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