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1598297996
CONTRILLA ALEXANDER
GRENADA, MS
NPI
1598297996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
-- CONTRILLA ALEXANDER
1501 VANCE RD
GRENADA, MS 38901-4830
Phone number: 662-307-2061
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Mailing Address
-- CONTRILLA ALEXANDER
1501 VANCE RD
GRENADA, MS 38901-4830
Phone number: 662-299-7280
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