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1801942974
RICHARD LESLIE DORRIS
RIDGELAND, MS
NPI
1801942974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT1268)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- RICHARD LESLIE DORRIS PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- RICHARD LESLIE DORRIS PT
2407 SUNSET RD NE
WESSON, MS 39191-6004
Phone number: 601-643-2103
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