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1215552005
DEMETRESS BRENT
JACKSON, MS
NPI
1215552005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385H00000X Respite Care
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
DEMETRESS BRENT
2941 SHEILA DR
JACKSON, MS 39209-6125
Phone number: 601-278-7311
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Mailing Address
DEMETRESS BRENT
2941 SHEILA DR
JACKSON, MS 39209-6125
Phone number: 601-278-7311
Copy
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