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Individual

MR. JEREMY S LYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
433 BROAD ST, COLUMBIA, MS 39429-3038
(601) 444-0030
(601) 444-0033
Mailing address
433 BROAD ST, COLUMBIA, MS 39429-3038
(601) 444-0030
(601) 444-0033

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA4864
MS

Other

Enumeration date
07/25/2011
Last updated
07/25/2011
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