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1770716615
LORRAINE M STREET
JACKSON, MS
NPI
1770716615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT0074)
Enumeration Date
2009-08-26
Last Update Date
2009-08-26
Business Address
Mrs. LORRAINE M STREET OTR/L
4500 I 55 N SUITE 291, HIGHLAND VILLAGE
JACKSON, MS 39211-5930
Phone number: 601-362-0859
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Mailing Address
Mrs. LORRAINE M STREET OTR/L
4500 I 55 N SUITE 291, HIGHLAND VILLAGE
JACKSON, MS 39211-5930
Phone number: 601-362-0859
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