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1134983950
VENUS LACY AMEZCUA
GAUTIER, MS
NPI
1134983950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
VENUS LACY AMEZCUA
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number: 228-497-0690
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Mailing Address
VENUS LACY AMEZCUA
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number: 228-497-0690
Copy
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