Provider Information for 1992247977
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JESSICA CLEARY M.S.
Sex: Female
NPI: 1992247977
Last Updated: 2024-08-14
Certification Date: 2024-08-14
Certification Date: 2024-08-14
Details
| Name | Value | ||||||||||||
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| NPI | 1992247977 | ||||||||||||
| Enumeration Date | 2016-11-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1310 BRIDLE PATH CORINTH, MS 38834-3809 United States Phone: 662-415-2553 | Fax: | ||||||||||||
| Primary Practice Address | 2664 S HARPER RD CORINTH, MS 38834-6723 United States Phone: 662-287-4055 | Fax: | ||||||||||||
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