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1477961316
DUSTIN SMITH
COLUMBUS, MS
NPI
1477961316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA5584)
Enumeration Date
2014-07-23
Last Update Date
2014-07-23
Business Address
DUSTIN SMITH PTA
670 LEIGH DR
COLUMBUS, MS 39705-3014
Phone number: 662-328-1012
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Mailing Address
DUSTIN SMITH PTA
670 LEIGH DR
COLUMBUS, MS 39705-3014
Phone number: 662-328-1012
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