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1518017524
LATESHIA MCDADE VINCENT
RIDGELAND, MS
NPI
1518017524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT1927)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mrs. LATESHIA MCDADE VINCENT OTR-L
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
Mrs. LATESHIA MCDADE VINCENT OTR-L
PO BOX 470
SCOOBA, MS 39358-0470
Phone number: 662-476-5191
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