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1306350640
NICHOLAS MARTIN HARRIS
OLIVE BRANCH, MS
NPI
1306350640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA5889)
Enumeration Date
2017-11-22
Last Update Date
2017-11-22
Business Address
Mr. NICHOLAS MARTIN HARRIS PTA
6399 GOODMAN RD
OLIVE BRANCH, MS 38654-7070
Phone number: 662-892-8339
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Mailing Address
Mr. NICHOLAS MARTIN HARRIS PTA
4869 STONE CROSS DR
OLIVE BRANCH, MS 38654-6989
Phone number:
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