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1003579509
GEORGE WOODSON GULLY
JACKSON, MS
NPI
1003579509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS 338464)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
Mr. GEORGE WOODSON GULLY LPN
1935 LAKELAND DR STE 900
JACKSON, MS 39216-5028
Phone number: 601-718-2468
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Mailing Address
Mr. GEORGE WOODSON GULLY LPN
1935 LAKELAND DR STE 900
JACKSON, MS 39216-5028
Phone number: 601-718-2468
Copy
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