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1932316528
TISA KITTRELL
MCCOMB, MS
NPI
1932316528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MS TA1422)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- TISA KITTRELL
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
-- TISA KITTRELL
18 SOUTHDOWN RD
SUMRALL, MS 39482-5444
Phone number: 601-250-4815
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