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Individual

PEGGY CLAYBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
219 FORD AVE, JACKSON, MS 39209-3322
(662) 299-7236
Mailing address
4795 MCWILLIE DR, SUITE 105, JACKSON, MS 39206-5628
(769) 524-4191
(769) 524-4208

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
09603294
MS

Other

Enumeration date
03/01/2017
Last updated
03/01/2017
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