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1770789208
JONATHAN LOUIS BAGGETT
RIDGELAND, MS
NPI
1770789208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA4234)
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN LOUIS BAGGETT PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
Mr. JONATHAN LOUIS BAGGETT PTA
2190 ROCKY BRANCH RD
SUMRALL, MS 39482-3666
Phone number: 985-294-3756
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