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1437469020
JESSICA MCCULLY GRIFFIN
GREENWOOD, MS
NPI
1437469020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA4679)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
Mrs. JESSICA MCCULLY GRIFFIN PTA
702 HIGHWAY 82 WEST, SUITE B
GREENWOOD, MS 38930
Phone number: 662-455-5010
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Mailing Address
Mrs. JESSICA MCCULLY GRIFFIN PTA
1529 DESOTO STREET APT #8
GREENWOOD, MS 38930
Phone number: 662-299-3512
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