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1689420192
DEIDRE L CALLICUT
OXFORD, MS
NPI
1689420192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS 334924)
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
DEIDRE L CALLICUT
114 LAUREL CV
OXFORD, MS 38655-2116
Phone number: 662-550-1074
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Mailing Address
DEIDRE L CALLICUT
114 LAUREL CV
OXFORD, MS 38655-2116
Phone number: 662-550-1074
Copy
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