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1700968864
MICHELLE C ELLISON
CANTON, MS
NPI
1700968864
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Professional Name
MICHELLE C LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS MS PT0747)
Enumeration Date
2006-10-19
Last Update Date
2016-12-28
Business Address
Mrs. MICHELLE C ELLISON P. T.
276 NISSAN PKWY SUITE 400, BLDG F
CANTON, MS 39046-7006
Phone number: 601-859-3776
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Mailing Address
Mrs. MICHELLE C ELLISON P. T.
2416 HIGHWAY 45 N
COLUMBUS, MS 39705-1320
Phone number: 662-327-6705
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