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Individual

MRS. PATRICH MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
118 LEVON OWENS DR, TERRY, MS 39170-9696
(601) 720-5460
(601) 878-0687
Mailing address
118 LEVON OWENS DR, TERRY, MS 39170-9696
(601) 720-5460
(601) 878-0687

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R866849
MS

Other

Enumeration date
05/08/2013
Last updated
05/08/2013
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