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1679635841
BYRON W FAIR
JACKSON, MS
NPI
1679635841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4057)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Mr. BYRON W FAIR PT
2475 LAKELAND DR STE A
JACKSON, MS 39232-9505
Phone number: 601-636-6019
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Mailing Address
Mr. BYRON W FAIR PT
1054 HIGHLAND COVE PL
RIDGELAND, MS 39157-1523
Phone number: 601-636-6019
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