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Individual

MRS. JACQUELINE BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4027 COUNTY FARM RD, HAZLEHURST, MS 39083-8889
(662) 701-2513
Mailing address
PO BOX 1426, HAZLEHURST, MS 39083-1426
(662) 701-2513

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/20/2024
Last updated
03/19/2024
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