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1194315986
ANTIONETTE SELVY
VICKSBURG, MS
NPI
1194315986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
ANTIONETTE SELVY
1110 CLAY ST
VICKSBURG, MS 39183-2912
Phone number: 601-738-5820
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Mailing Address
ANTIONETTE SELVY
1110 CLAY ST
VICKSBURG, MS 39183-2912
Phone number: 601-738-5820
Copy
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