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1700039641
KWADIS JAMES BEARD
TUPELO, MS
NPI
1700039641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT1630)
Enumeration Date
2008-10-23
Last Update Date
2008-10-23
Business Address
Mr. KWADIS JAMES BEARD OT
90 A CLARK BLVD
TUPELO, MS 38801
Phone number: 662-840-0535
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Mailing Address
Mr. KWADIS JAMES BEARD OT
PO BOX 3592
TUPELO, MS 38803-3592
Phone number: 662-840-0535
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