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1508104472
MARCUS LYDELL HARRIS
RIDGELAND, MS
NPI
1508104472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT2696)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
Mr. MARCUS LYDELL HARRIS OTR/L
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
Mr. MARCUS LYDELL HARRIS OTR/L
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Copy
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