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1114517802
REBECCA WADE
JACKSON, MS
NPI
1114517802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS 3219)
Enumeration Date
2021-01-26
Last Update Date
2021-01-26
Business Address
REBECCA WADE OT
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
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Mailing Address
REBECCA WADE OT
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
Copy
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