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1740039114
SALLIE HUMPHREYS
JACKSON, MS
NPI
1740039114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
SALLIE HUMPHREYS
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
SALLIE HUMPHREYS
1170 COUNTY ROAD 180
BLUE SPRINGS, MS 38828-9268
Phone number: 662-507-5146
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