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1396162962
REBECCA MELISSA SUYDAM
GULFPORT, MS
NPI
1396162962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4814)
Enumeration Date
2014-03-21
Last Update Date
2014-03-21
Business Address
REBECCA MELISSA SUYDAM DPT
334 COURTHOUSE RD
GULFPORT, MS 39507-1807
Phone number: 228-896-1189
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Mailing Address
REBECCA MELISSA SUYDAM DPT
PO BOX 8419
BILOXI, MS 39535-8087
Phone number: 228-388-5714
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