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1679241327
ELISHIA CLANTON
TUPELO, MS
NPI
1679241327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MS 526949)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
ELISHIA CLANTON
1133 W MAIN ST
TUPELO, MS 38801-3409
Phone number: 662-678-1010
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Mailing Address
ELISHIA CLANTON
1133 W MAIN ST
TUPELO, MS 38801-3409
Phone number: 662-871-2966
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