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1982365300
FOUNTAIN OF YOUTH REHAB, PLLC
JACKSON, MS
NPI
1982365300
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Entity Type
Organization
Authorized Contact
KIMBERLY MCNAIR
Physical Therapist
601-966-1014
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-01-07
Last Update Date
2022-10-10
Business Address
FOUNTAIN OF YOUTH REHAB, PLLC
5260 CEDAR PARK DR STE E2
JACKSON, MS 39206-4131
Phone number: 601-966-1014
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Mailing Address
FOUNTAIN OF YOUTH REHAB, PLLC
127 S ROACH ST APT 1004
JACKSON, MS 39201-2916
Phone number: 601-966-1014
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