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1316218522
PAUL JEROME FOSTER
FLOWOOD, MS
NPI
1316218522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA3029)
Enumeration Date
2012-01-19
Last Update Date
2012-01-19
Business Address
MR. PAUL JEROME FOSTER LPTA
533B KEYWAY DR
FLOWOOD, MS 39232-8809
Phone number: 601-420-0717
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Mailing Address
MR. PAUL JEROME FOSTER LPTA
533B KEYWAY DR
FLOWOOD, MS 39232-8809
Phone number: 601-420-0717
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