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1336765536
KIMBERLY C FONVILLE
JACKSON, MS
NPI
1336765536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
KIMBERLY C FONVILLE
860 E RIVER PL STE 100
JACKSON, MS 39202-3442
Phone number: 769-251-5550
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Mailing Address
KIMBERLY C FONVILLE
860 E RIVER PL STE 100
JACKSON, MS 39202-3442
Phone number: 769-251-5550
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