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Fairuza Zan Trust — NPI 1508449372, Olive Branch, MS | NPI Central

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NPI 1508449372

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Fairuza Zan Trust

NPI 1508449372 · Early Intervention Provider Agency · Olive Branch, MS

Provider details

NPI number: 1508449372
Entity type: Organization
Primary specialty: Early Intervention Provider AgencyAgencies
Authorized official: Iris Gray, Ceo

Practice location

6569 Highway 305 N

Olive Branch, MS 38654-3044

Phone: (901) 870-1246

More MS providers

Mailing address

6569 Highway 305 N

Olive Branch, MS 38654-3044

Registry dates

Enumerated: 2021-04-29
Last updated: 2023-09-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.