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1578789822
PAMELA ANN BANES
RIDGELAND, MS
NPI
1578789822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA1824)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
PAMELA ANN BANES LPTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
PAMELA ANN BANES LPTA
PO BOX 1156
RAYMOND, MS 39154-1156
Phone number: 601-857-8445
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