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1912088055
VICKIE ROCHELLE MACK
JACKSON, MS
NPI
1912088055
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Professional Name
VICKIE ROCHELLE MACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS P122165)
Enumeration Date
2006-10-17
Last Update Date
2007-07-09
Business Address
Ms. VICKIE ROCHELLE MACK
811 ALVAREDO ST
JACKSON, MS 39204-5317
Phone number: 601-372-8941
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Mailing Address
Ms. VICKIE ROCHELLE MACK
811 ALVAREDO ST
JACKSON, MS 39204-5317
Phone number: 601-372-8941
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