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1629374889
MARK REID WARREN
JACKSON, AL
NPI
1629374889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH6049)
Enumeration Date
2011-02-07
Last Update Date
2011-02-07
Business Address
-- MARK REID WARREN DPT
1711 COLLEGE AVE
JACKSON, AL 36545-2425
Phone number: 251-246-5761
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Mailing Address
-- MARK REID WARREN DPT
PO BOX 37
JACKSON, AL 36545-0037
Phone number: 251-246-5761
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