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1336318443
ASHLEY CRAIN BANKSTON
MCCOMB, MS
NPI
1336318443
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Professional Name
ASHLEY WASCOM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 06552R)
Enumeration Date
2008-02-22
Last Update Date
2008-02-22
Business Address
-- ASHLEY CRAIN BANKSTON
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
-- ASHLEY CRAIN BANKSTON
14465 WILSON MAGEE RD
BOGALUSA, LA 70427-7367
Phone number:
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