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1902114309
TONY CHANNELL
SUMMIT, MS
NPI
1902114309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA1200)
Enumeration Date
2010-09-20
Last Update Date
2010-09-20
Business Address
-- TONY CHANNELL
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 205-375-2465
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Mailing Address
-- TONY CHANNELL
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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