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1972190346
CHASE GASTON HAYNIE
CLARKSDALE, MS
NPI
1972190346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PTA-6504)
Enumeration Date
2020-12-30
Last Update Date
2020-12-30
Business Address
CHASE GASTON HAYNIE PTA
1120 RITCHIE AVE
CLARKSDALE, MS 38614-7535
Phone number: 662-621-1447
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Mailing Address
CHASE GASTON HAYNIE PTA
71 RIDGECREST DR
POPE, MS 38658-3150
Phone number:
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