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1346431566
AMY EATON BROOME
MONTICELLO, MS
NPI
1346431566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA2431)
Enumeration Date
2007-08-05
Last Update Date
2007-08-05
Business Address
-- AMY EATON BROOME PTA
314 MAIN ST STE C
MONTICELLO, MS 39654
Phone number: 601-587-2563
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Mailing Address
-- AMY EATON BROOME PTA
PO BOX 457
MONTICELLO, MS 39654-0457
Phone number: 601-587-2563
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