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Individual

MR. JEREMY W DESCOMBES SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
108 PLUMWOOD LN, HATTIESBURG, MS 39402-8086
(601) 818-1630

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2046
MS

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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