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1720551740
MAKETTA JENNINGS
VICKSBURG, MS
NPI
1720551740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0208X Clinic/Center, Radiology, Mobile
Additional Taxonomies
253Z00000X In Home Supportive Care
Enumeration Date
2019-01-03
Last Update Date
2023-06-28
Business Address
MAKETTA JENNINGS
8677 HALLS FERRY RD
VICKSBURG, MS 39180-7047
Phone number: 601-618-8632
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Mailing Address
MAKETTA JENNINGS
2160 S FRONTAGE RD APT 17D
VICKSBURG, MS 39180-5181
Phone number: 601-618-8632
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