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1922291301
RENEE A MADDOX
JACKSON, MS
NPI
1922291301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT2004)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
-- RENEE A MADDOX RPT
13 NORTHTOWN DR SUITE 110 TRINITY REHAB
JACKSON, MS 39211
Phone number: 601-206-9195
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Mailing Address
-- RENEE A MADDOX RPT
PO BOX 315 TRINITY REHAB
RIDGELAND, MS 39158
Phone number: 601-206-9195
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