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Individual

MS. JOCELYLN A. MAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1706 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-3073
(228) 818-9164
Mailing address
PO BOX 605, OCEAN SPRINGS, MS 39566-0605
(228) 818-9164
(228) 181-9167

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3521
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06406391
MS
05
08635794
MS
Enumeration date
02/18/2007
Last updated
07/09/2007
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