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1346916632
EVOLUTIONS ON FIFTH, LLC
COLUMBUS, MS
NPI
1346916632
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Entity Type
Organization
Authorized Contact
JEFF BOLLING
Director
662-497-0457
Organization Subpart ?
No
Primary Taxonomy
172M00000X Mechanotherapist
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
EVOLUTIONS ON FIFTH, LLC
122 5TH ST N
COLUMBUS, MS 39701-4522
Phone number: 662-630-5160
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Mailing Address
EVOLUTIONS ON FIFTH, LLC
122 5TH ST N
COLUMBUS, MS 39701-4522
Phone number: 662-630-5160
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