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Individual

LAUREL BLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
309 AIRPORT RD S STE B, PEARL, MS 39208-6678
(601) 939-8155
Mailing address
309 AIRPORT RD S STE B, PEARL, MS 39208-6678

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4706
MS

Other

Enumeration date
01/12/2011
Last updated
01/12/2011
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