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1790079143
LESLIE BRADY
BROOKHAVEN, MS
NPI
1790079143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS 3749)
Enumeration Date
2011-06-02
Last Update Date
2011-06-02
Business Address
-- LESLIE BRADY
503 SILVER CROSS DR
BROOKHAVEN, MS 39601-2388
Phone number: 601-833-2353
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Mailing Address
-- LESLIE BRADY
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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