CUSTOM PROSTHETIC & ORTHOTIC

CLINTON, MS
NPI1710147301
Entity TypeOrganization
Authorized ContactJOHNNIE MAE OWENS
Owner President
601-906-1024
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2008-06-17
Last Update Date2012-03-15
Business Address
CUSTOM PROSTHETIC & ORTHOTIC
801 E NORTHSIDE DR SUITE - D
CLINTON, MS 39056-3663
Phone number: 601-906-1024
Mailing Address
CUSTOM PROSTHETIC & ORTHOTIC
801 E NORTHSIDE DR SUITE - D
CLINTON, MS 39056-3663
Phone number: 601-906-1024
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