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1316287675
JERUSHA DEGROOTE STEPHENS
JACKSON, MS
NPI
1316287675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: MS AC00001)
Enumeration Date
2013-02-25
Last Update Date
2013-02-25
Business Address
MRS. JERUSHA DEGROOTE STEPHENS LAC
4500 I 55 N SUITE 128
JACKSON, MS 39211-5930
Phone number: 601-366-7721
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Mailing Address
MRS. JERUSHA DEGROOTE STEPHENS LAC
4500 I 55 N SUITE 128
JACKSON, MS 39211-5930
Phone number: 601-366-7721
Copy