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1427086792
PHYLLIS SMITH-BOWEN
JACKSON, MS
NPI
1427086792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT0499)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
-- PHYLLIS SMITH-BOWEN otr/l
1475 MOSSLINE DR
JACKSON, MS 39211-2819
Phone number: 601-942-5051
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Mailing Address
-- PHYLLIS SMITH-BOWEN otr/l
1475 MOSSLINE DR
JACKSON, MS 39211-2819
Phone number:
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