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1780905471
LARA MCDONALD
WIGGINS, MS
NPI
1780905471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA2508)
Enumeration Date
2010-06-16
Last Update Date
2010-06-16
Business Address
Mrs. LARA MCDONALD LPTA
711 HALL ST
WIGGINS, MS 39577-2105
Phone number: 601-928-5511
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Mailing Address
Mrs. LARA MCDONALD LPTA
711 HALL ST
WIGGINS, MS 39577-2105
Phone number:
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