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1619067345
PEBBLES M KING
GAUTIER, MS
NPI
1619067345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- PEBBLES M KING BS
3407 SHAMROCK COURT
GAUTIER, MS 39553
Phone number: 228-497-0690
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Mailing Address
-- PEBBLES M KING BS
3407 SHAMROCK COURT
GAUTIER, MS 39553
Phone number: 228-497-0690
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