CLARK BRANDON RASBERRY

LAUREL, MS
NPI1922136639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT4025)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
Mr. CLARK BRANDON RASBERRY DPT
23 MASON ST
LAUREL, MS 39440-4437
Phone number: 601-399-0534
Mailing Address
Mr. CLARK BRANDON RASBERRY DPT
15 BLACKBERRY DR.
LAUREL, MS 39443
Phone number: 601-425-4473
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