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Individual

KANTINA MCGAUGHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
248 COUNTY ROAD 115, SHANNON, MS 38868-9161
(662) 231-6719
Mailing address
248 COUNTY ROAD 115, SHANNON, MS 38868-9161
(662) 231-6719

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
800832294
MS

Other

Enumeration date
08/31/2023
Last updated
08/31/2023
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