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1427578046
ULANDA EYVETTE SMITH
JACKSON, MS
NPI
1427578046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA4602)
Enumeration Date
2017-06-24
Last Update Date
2022-07-21
Business Address
ULANDA EYVETTE SMITH LPTA
5411 I 55 N
JACKSON, MS 39206-3616
Phone number: 769-216-3288
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Mailing Address
ULANDA EYVETTE SMITH LPTA
5411 I 55 N
JACKSON, MS 39206-3616
Phone number: 769-216-3288
Copy
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