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1538258736
RICK A PSONAK
JACKSON, MS
NPI
1538258736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: MS CPO1452)
Enumeration Date
2006-10-12
Last Update Date
2008-02-14
Business Address
Mr. RICK A PSONAK cpo
777 LAKELAND DR
JACKSON, MS 39216-4611
Phone number: 601-984-6525
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Mailing Address
Mr. RICK A PSONAK cpo
PO BOX 3188
JACKSON, MS 39207-3188
Phone number: 601-984-6525
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