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JACQUELINE ANJANETTE SLEDGE-PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, COTA

Contact information

Practice address
321 CEDAR HILL DR, PEARL, MS 39208-8094
(601) 955-0765
Mailing address
321 CEDAR HILL DR, PEARL, MS 39208-8094

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
924107
MS
224Z00000X
Occupational Therapy Assistant
057002495
IL

Other

Enumeration date
03/29/2013
Last updated
05/08/2024
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