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1558997320
JEFFREY LANCE PENN
JACKSON, MS
NPI
1558997320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MS M7738)
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
JEFFREY LANCE PENN
860 E RIVER PL STE 100
JACKSON, MS 39202-3442
Phone number: 769-251-5550
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Mailing Address
JEFFREY LANCE PENN
860 E RIVER PL STE 100
JACKSON, MS 39202-3442
Phone number: 769-251-5550
Copy
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