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1821499179
CLAY CROSSWHITE
JACKSON, MS
NPI
1821499179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT5520)
Enumeration Date
2014-09-05
Last Update Date
2014-12-19
Business Address
-- CLAY CROSSWHITE DPT
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
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Mailing Address
-- CLAY CROSSWHITE DPT
831 WILLOW GRANDE CIR
BRANDON, MS 39047-8352
Phone number: 601-613-2229
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