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1194231399
DORTHA MAE RIDEOUT
GULFPORT, MS
NPI
1194231399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2017-12-26
Last Update Date
2017-12-26
Business Address
MRS. DORTHA MAE RIDEOUT
2649 PALMER DR
GULFPORT, MS 39507-2846
Phone number: 228-731-3257
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Mailing Address
MRS. DORTHA MAE RIDEOUT
529 E PASS RD APT U
GULFPORT, MS 39507-3271
Phone number: 228-547-7088
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