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1720645831
JUSTIN LASTER
FOREST, MS
NPI
1720645831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
JUSTIN LASTER DPT
1129 MS-35 #2
FOREST, MS 39074
Phone number: 601-469-1001
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Mailing Address
JUSTIN LASTER DPT
1618 HIGHWAY 43 N
PELAHATCHIE, MS 39145-2873
Phone number:
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