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1619407798
LISA DEEANN BRYANT
RIDGELAND, MS
NPI
1619407798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT5093)
Enumeration Date
2017-06-12
Last Update Date
2022-07-21
Business Address
LISA DEEANN BRYANT PT, DPT, CEAS
363 HIGHLAND COLONY PKWY
RIDGELAND, MS 39157-6035
Phone number: 601-398-0171
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Mailing Address
LISA DEEANN BRYANT PT, DPT, CEAS
109 DIAMONDBACK LN
BRANDON, MS 39047-6060
Phone number: 601-316-7221
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