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1861894420
IESHA BRIDGES SMITH
JACKSON, MS
NPI
1861894420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: MS OT2921)
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
-- IESHA BRIDGES SMITH OTR/L
170 E GRIFFITH ST APT 209
JACKSON, MS 39201-1396
Phone number: 404-991-0367
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Mailing Address
-- IESHA BRIDGES SMITH OTR/L
170 E GRIFFITH ST APT 209
JACKSON, MS 39201-1396
Phone number: 404-991-0367
Copy
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