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1629150818
CANDICE FOUNTAIN
JACKSON, MS
NPI
1629150818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XR0403X Occupational Therapist Driving and Community Mobility
(Licence: MS OT2019)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
CANDICE FOUNTAIN
2475 LAKELAND DR STE A
JACKSON, MS 39232-9505
Phone number: 601-636-6019
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Mailing Address
CANDICE FOUNTAIN
1054 HIGHLAND COVE PL
RIDGELAND, MS 39157-1523
Phone number: 601-636-6019
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