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Individual

MICHELLE L GIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1001 S HARPER RD, CORINTH, MS 38834-6646
(662) 287-1400
(662) 287-8005
Mailing address
18 A COUNTY ROAD 337, GLEN, MS 38846
(662) 462-5939

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0295
MS

Other

Enumeration date
06/14/2007
Last updated
07/08/2007
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