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1689259137
DOROTHY NICOLE DUCKWORTH
RALEIGH, MS
NPI
1689259137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA5802)
Enumeration Date
2021-03-16
Last Update Date
2021-03-16
Business Address
Mrs. DOROTHY NICOLE DUCKWORTH LPTA
309 MAGNOLIA DR
RALEIGH, MS 39153-6011
Phone number: 601-782-4244
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Mailing Address
Mrs. DOROTHY NICOLE DUCKWORTH LPTA
142 COLD SPRINGS RD
SEMINARY, MS 39479-4145
Phone number: 601-517-3679
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