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Individual

ROXANNE LUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
158 SHILOH FIRETOWER RD, FOXWORTH, MS 39483-4782
(601) 756-4908
Mailing address
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
(601) 756-4908

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/01/2023
Last updated
12/01/2023
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