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1386131928
MIRIAM MARIE SHOEMAKER
JACKSON, MS
NPI
1386131928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
MIRIAM MARIE SHOEMAKER
1500 PEACHTREE ST
JACKSON, MS 39202-1754
Phone number: 601-951-6896
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Mailing Address
MIRIAM MARIE SHOEMAKER
1034 HIGHWAY 3048
RAYVILLE, LA 71269-4044
Phone number:
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