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1366524464
SCOTTY W. GRANTHAM
JACKSON, MS
NPI
1366524464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT3612)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
MR. SCOTTY W. GRANTHAM R.P.T.
5250 GALAXIE DR SUITE K
JACKSON, MS 39206-4311
Phone number: 601-368-4570
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Mailing Address
MR. SCOTTY W. GRANTHAM R.P.T.
5250 GALAXIE DR SUITE K
JACKSON, MS 39206-4311
Phone number: 601-368-4570
Copy
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