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1881973329
BRADY J CHURCH
LAUREL, MS
NPI
1881973329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS 6627)
Enumeration Date
2011-08-16
Last Update Date
2025-11-18
Business Address
-- BRADY J CHURCH DPT
1707 W 20TH ST
LAUREL, MS 39440-1802
Phone number: 601-428-2004
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Mailing Address
-- BRADY J CHURCH DPT
1707 W 20TH ST
LAUREL, MS 39440-1802
Phone number: 601-428-2004
Copy
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