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1629499983
JACQUELINE WHITE-IVEY
SUMMIT, MS
NPI
1629499983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MS TAO564)
Enumeration Date
2014-01-03
Last Update Date
2014-01-03
Business Address
Mrs. JACQUELINE WHITE-IVEY COTA
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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Mailing Address
Mrs. JACQUELINE WHITE-IVEY COTA
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Copy
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