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1962636670
BILLY DOUGLAS FORD
MEADVILLE, MS
NPI
1962636670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA3880)
Enumeration Date
2009-05-08
Last Update Date
2009-05-08
Business Address
-- BILLY DOUGLAS FORD PTA
113 MAIN STREET
MEADVILLE, MS 39653
Phone number: 601-384-1898
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Mailing Address
-- BILLY DOUGLAS FORD PTA
P.O. BOX 783
MEADVILLE, MS 39653
Phone number: 601-384-1898
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