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1942692801
ALICIA JAY
JACKSON, MS
NPI
1942692801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0693)
Enumeration Date
2015-03-02
Last Update Date
2015-03-02
Business Address
-- ALICIA JAY ATC
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-562-2571
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Mailing Address
-- ALICIA JAY ATC
10641 HIGHWAY 492 E
UNION, MS 39365-9467
Phone number:
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