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1003505843
SAMANTHA AYERS
SOUTHAVEN, MS
NPI
1003505843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
SAMANTHA AYERS
1120 MAIN ST
SOUTHAVEN, MS 38671-1428
Phone number: 901-846-3092
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Mailing Address
SAMANTHA AYERS
4904 RICHARD PLACE CV
HORN LAKE, MS 38637-9601
Phone number: 901-846-3092
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