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1891223491
VICTORIAL RENETT DEAVENS
COLUMBUS, MS
NPI
1891223491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-05-25
Last Update Date
2017-05-25
Business Address
VICTORIAL RENETT DEAVENS
428 24TH AVE N
COLUMBUS, MS 39705-1945
Phone number: 662-241-7097
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Mailing Address
VICTORIAL RENETT DEAVENS
2525 YOUREE DR STE 100
SHREVEPORT, LA 71104-3600
Phone number: 662-241-7097
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