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1023282274
JAMIE RUSSELL
MCCOMB, MS
NPI
1023282274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT1245)
Enumeration Date
2008-04-18
Last Update Date
2008-04-18
Business Address
-- JAMIE RUSSELL
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
-- JAMIE RUSSELL
2440 LITTLE BLACK CREEK RD
LUMBERTON, MS 39455-7881
Phone number: 601-520-4943
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