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Shalisa Gaines

NPI 1033659958 · on the registry since 2017 · sole proprietor

Practice

Address
608 Highway 80 E # C
Clinton, MS 39056
Phone
(769) 218-0292
Fax
(601) 473-2429

Registry record

Primary taxonomy
Contractor
171W00000X
Sex
Female
Record last updated
2017-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi