ALLIE E SHEPARD

JACKSON, MS
NPI1295281640
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA3273)
Enumeration Date2016-08-26
Last Update Date2016-08-26
Business Address
-- ALLIE E SHEPARD COTA/L
5411 I 55 N
JACKSON, MS 39206-3616
Phone number: 769-251-2098
Mailing Address
-- ALLIE E SHEPARD COTA/L
107 MUIRFIELD LN
CLINTON, MS 39056-5960
Phone number: 601-906-5709
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