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1972906949
MICHAEL CHESTER
VICKSBURG, MS
NPI
1972906949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA5298)
Enumeration Date
2014-10-03
Last Update Date
2014-10-03
Business Address
-- MICHAEL CHESTER PTA
1990 S FRONTAGE RD STE J
VICKSBURG, MS 39180-5232
Phone number: 601-883-1983
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Mailing Address
-- MICHAEL CHESTER PTA
1990 S FRONTAGE RD STE J
VICKSBURG, MS 39180-5232
Phone number: 601-883-1983
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