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1649560657
LISA SHIPP LAKE
FLOWOOD, MS
NPI
1649560657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT0691)
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
-- LISA SHIPP LAKE PT
4435 MANGUM DR SUITE A
FLOWOOD, MS 39232-2114
Phone number: 601-932-0305
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Mailing Address
-- LISA SHIPP LAKE PT
4435 MANGUM DR SUITE A
FLOWOOD, MS 39232-2114
Phone number: 601-932-0305
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