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Individual

MS. NICOLE WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1766 OLD LELAND RD, GREENVILLE, MS 38703-2742
(662) 537-4976
(662) 537-4977
Mailing address
1766 OLD LELAND RD, GREENVILLE, MS 38703-2742
(662) 537-4976
(662) 537-4977

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MS

Other

Enumeration date
10/04/2018
Last updated
10/04/2018
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