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1780269761
JALIS GARDNER
TUPELO, MS
NPI
1780269761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
JALIS GARDNER
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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Mailing Address
JALIS GARDNER
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number:
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