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1558613943
JASON MARTIN SPENCER
TUPELO, MS
NPI
1558613943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4554)
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
Mr. JASON MARTIN SPENCER DPT
90A CLARK BLVD
TUPELO, MS 38804-2801
Phone number: 662-840-0535
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Mailing Address
Mr. JASON MARTIN SPENCER DPT
1681 VIRGINIA LANE
CORINTH, MS 38834-6569
Phone number: 662-840-0535
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