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Individual

ROXANNE VINCENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.C.A

Contact information

Practice address
1753 HIGHWAY 11 S, 15 SAM MITCHELL RD, PICAYUNE, MS 39466-8056
(601) 953-3305
Mailing address
1753 HWY 11 S, PICAYUNE, MS 39466
(601) 953-3305

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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