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1497966139
DIANE M JOHNSON
MCCOMB, MS
NPI
1497966139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT1456)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
-- DIANE M JOHNSON
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
-- DIANE M JOHNSON
PO BOX 955
PELAHATCHIE, MS 39145-0955
Phone number: 601-250-4815
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