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1972905552
ELIZABETH SANTIBANEZ
RIDGELAND, MS
NPI
1972905552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT5625)
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
-- ELIZABETH SANTIBANEZ
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- ELIZABETH SANTIBANEZ
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 479-498-6700
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