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1871643965
JUAN Z EVANS
RIDGELAND, MS
NPI
1871643965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MS TA1660)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
MS. JUAN Z EVANS COTA-L
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
MS. JUAN Z EVANS COTA-L
3072 FLEETWOOD DR
JACKSON, MS 39212-2545
Phone number: 601-346-5555
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