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Individual

MS. BRENDA LEE CHAPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
210 ROBERTS AVE, LONG BEACH, MS 39560-4020
(228) 868-7199
(228) 868-9769
Mailing address
210 ROBERTS AVE, LONG BEACH, MS 39560-4020
(228) 868-7199
(228) 868-9769

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
687
MS
3747P1801X
Personal Care Attendant
687
MS

Other

Enumeration date
12/01/2010
Last updated
12/01/2010
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