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1255010252
GEORGIA COURTENAY SALLOUM
GULFPORT, MS
NPI
1255010252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT0675)
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
MRS. GEORGIA COURTENAY SALLOUM
12261 HIGHWAY 49 STE 1
GULFPORT, MS 39503-2976
Phone number: 228-265-7185
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Mailing Address
MRS. GEORGIA COURTENAY SALLOUM
11018 CHANNELSIDE DR
GULFPORT, MS 39503-6049
Phone number: 228-234-6882
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