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1790077196
LEANNE DELISE
SUMMIT, MS
NPI
1790077196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2013330)
Enumeration Date
2011-05-04
Last Update Date
2011-05-16
Business Address
-- LEANNE DELISE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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Mailing Address
-- LEANNE DELISE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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