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1720535065
JENA DIMBERG
SOUTHAVEN, MS
NPI
1720535065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S3667)
Enumeration Date
2016-09-03
Last Update Date
2016-09-03
Business Address
-- JENA DIMBERG MS CCC SLP
6858 SWINNEA RD BUILDING 4
SOUTHAVEN, MS 38671-9493
Phone number: 662-772-5937
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Mailing Address
-- JENA DIMBERG MS CCC SLP
6858 SWINNEA RD BUILDING 4
SOUTHAVEN, MS 38671-9493
Phone number: 662-772-5937
Copy
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