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1194381228
KENYETTA SHARDAE FARMER
GAUTIER, MS
NPI
1194381228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-14
Last Update Date
2019-05-14
Business Address
KENYETTA SHARDAE FARMER
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number: 228-497-0690
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Mailing Address
KENYETTA SHARDAE FARMER
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number:
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