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1376865626
LORA NICOLE ELLIS
BYRAM, MS
NPI
1376865626
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Former Name
LORA NICOLE BASS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4540)
Enumeration Date
2010-02-26
Last Update Date
2012-02-06
Business Address
-- LORA NICOLE ELLIS P.T.
7381 S SIWELL RD STE A
BYRAM, MS 39272-8741
Phone number: 601-373-2075
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Mailing Address
-- LORA NICOLE ELLIS P.T.
7381 S SIWELL RD STE A
BYRAM, MS 39272-8741
Phone number: 601-373-2075
Copy
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