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1689283376
REBECCA SHIELDS
KOSCIUSKO, MS
NPI
1689283376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA6468)
Enumeration Date
2020-07-28
Last Update Date
2021-09-15
Business Address
REBECCA SHIELDS PTA
108 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090-3849
Phone number: 769-777-4400
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Mailing Address
REBECCA SHIELDS PTA
203 W JEFFERSON ST
KOSCIUSKO, MS 39090-3620
Phone number: 769-777-4400
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