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1538440615
DEBRA ANN OTTENS
SOUTHAVEN, MS
NPI
1538440615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4664)
Enumeration Date
2011-09-02
Last Update Date
2011-09-02
Business Address
DEBRA ANN OTTENS PT
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
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Mailing Address
DEBRA ANN OTTENS PT
1453 BANBURY LN
HERNANDO, MS 38632-7503
Phone number: 901-497-8651
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