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1962703348
DONNY R IVY
RIDGELAND, MS
NPI
1962703348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT1371)
Enumeration Date
2010-11-16
Last Update Date
2010-11-16
Business Address
-- DONNY R IVY PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- DONNY R IVY PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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