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1982257598
CAROLINE S BANKSTON
CRYSTAL SPRINGS, MS
NPI
1982257598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA6727)
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
CAROLINE S BANKSTON PTA
117 BO BO DR
CRYSTAL SPRINGS, MS 39059-2741
Phone number: 601-892-6330
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Mailing Address
CAROLINE S BANKSTON PTA
8205 PRESIDENTS DR
HUMMELSTOWN, PA 17036-8621
Phone number: 717-839-2188
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