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1720368111
CALEB TANNER COTHREN
SUMMIT, MS
NPI
1720368111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS 4779)
Enumeration Date
2011-08-17
Last Update Date
2011-08-17
Business Address
-- CALEB TANNER COTHREN
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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Mailing Address
-- CALEB TANNER COTHREN
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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