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1750598942
JENNIFER E WOOTEN
MCCOMB, MS
NPI
1750598942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA2088)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- JENNIFER E WOOTEN
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
-- JENNIFER E WOOTEN
501 JOHNSON GROVE RD SW
BOGUE CHITTO, MS 39629-8256
Phone number: 601-250-4815
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