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1407039811
ELVIOLET BROOKS
JACKSON, MS
NPI
1407039811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MS A05888)
Enumeration Date
2007-12-07
Last Update Date
2007-12-07
Business Address
ELVIOLET BROOKS
4548 N STATE ST
JACKSON, MS 39206-5335
Phone number: 769-233-3870
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Mailing Address
ELVIOLET BROOKS
4548 N STATE ST
JACKSON, MS 39206-5335
Phone number: 769-233-3870
Copy
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