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1730374174
KRYSTAL DAVIS
MCCOMB, MS
NPI
1730374174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA3603)
Enumeration Date
2007-09-10
Last Update Date
2007-09-10
Business Address
-- KRYSTAL DAVIS
206 MARYLAND AVE
MCCOMB, MS 39648
Phone number: 601-250-4815
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Mailing Address
-- KRYSTAL DAVIS
1699 LAWRENCE CONEHATTA RD
LAWRENCE, MS 39336
Phone number:
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