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1396040945
RUSSELL HINTON GARNER
CLINTON, MS
NPI
1396040945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA3976)
Enumeration Date
2011-01-12
Last Update Date
2015-12-03
Business Address
Mr. RUSSELL HINTON GARNER PTA
108 CLINTON PKWY
CLINTON, MS 39056-4730
Phone number: 601-926-2018
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Mailing Address
Mr. RUSSELL HINTON GARNER PTA
108 CLINTON PKWY
CLINTON, MS 39056-4730
Phone number: 601-926-2018
Copy
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