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Organization

SENERGETIC MANIFOLD PROTOPLASM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CRYSTAL CHERIE SIMPSON -JONES (ORGANIZER)
(901) 643-8625
Entity
Organization

Contact information

Practice address
3603 THORN TREE LN, SOUTHAVEN, MS 38672-7013
(901) 643-8625
Mailing address
3603 THORN TREE LN, SOUTHAVEN, MS 38672-7013
(901) 643-8625

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary

Other

Enumeration date
07/27/2026
Last updated
07/27/2026
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