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1295839801
JESSICA OWEN LONG
TUPELO, MS
NPI
1295839801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
MISS JESSICA OWEN LONG BS
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-844-1717
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Mailing Address
MISS JESSICA OWEN LONG BS
261 COUNTY ROAD 1806
SALTILLO, MS 38866-9324
Phone number: 662-231-4359
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