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1093376998
LATRICE R SPIVEY
WALLS, MS
NPI
1093376998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: TN 88)
Enumeration Date
2019-06-22
Last Update Date
2019-06-22
Business Address
LATRICE R SPIVEY
9444 MCLEMORE CV
WALLS, MS 38680-9782
Phone number: 901-383-0773
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Mailing Address
LATRICE R SPIVEY
9444 MCLEMORE CV
WALLS, MS 38680-9782
Phone number: 901-383-0773
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