Individual
DAMON DOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
176 HWY 9, BRUCE, MS 38915
(662) 414-5280
Mailing address
PO BOX 1205, CALHOUN CITY, MS 38916-1205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2016
MS
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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