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1871707596
DANA LYNN JACKSON
MEADVILLE, MS
NPI
1871707596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA1972)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Mrs. DANA LYNN JACKSON LPTA
113 MAIN ST.
MEADVILLE, MS 39653
Phone number: 601-384-1898
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Mailing Address
Mrs. DANA LYNN JACKSON LPTA
1361 CAUSEY RD SE
MEADVILLE, MS 39653-7235
Phone number: 601-810-3593
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