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Individual

DANLEE QUINLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
Mailing address
4005 CHAMBERLAIN AVE, GULFPORT, MS 39507-3914
(251) 753-9159

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA4045
MS

Other

Enumeration date
04/15/2011
Last updated
04/15/2011
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