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1336464817
LAURA L WICKER
GREENWOOD, MS
NPI
1336464817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4173)
Enumeration Date
2010-03-29
Last Update Date
2010-03-29
Business Address
-- LAURA L WICKER
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930-7343
Phone number: 662-453-9173
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Mailing Address
-- LAURA L WICKER
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930-7343
Phone number: 662-453-9173
Copy
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