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1629739818
ALICIA R BERRY-KAHO
FAYETTE, MS
NPI
1629739818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS 320763)
Enumeration Date
2022-01-10
Last Update Date
2022-01-10
Business Address
ALICIA R BERRY-KAHO LPN
90 AVENDALE ROAD
FAYETTE, MS 39069
Phone number: 601-451-5018
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Mailing Address
ALICIA R BERRY-KAHO LPN
PO BOX 2252
FAYETTE, MS 39069-2252
Phone number: 601-451-5018
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