JO CHANTELL MIMS

TUPELO, MS
NPI1568791622
Former NameJO CHANTELL PUMPHREY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT1959)
Enumeration Date2009-12-18
Last Update Date2020-10-02
Business Address
JO CHANTELL MIMS
90 A CLARK BOULEVARD
TUPELO, MS 38801-3592
Phone number: 662-840-0535
Mailing Address
JO CHANTELL MIMS
PO BOX 3592
TUPELO, MS 38803-3592
Phone number: 662-840-0535
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