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1003392119
SHELIA DENISE BLACK
GREENVILLE, MS
NPI
1003392119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
Ms. SHELIA DENISE BLACK
564 CYPRESS LN APT 26D
GREENVILLE, MS 38701-7425
Phone number: 662-347-3616
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Mailing Address
Ms. SHELIA DENISE BLACK
564 CYPRESS LN APT 26D
GREENVILLE, MS 38701-7425
Phone number: 662-347-3616
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