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1023338761
JEFFERSON RIDGWAY GAMBLIN
HAZLEHURST, MS
NPI
1023338761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MS 3536-10)
Enumeration Date
2010-06-04
Last Update Date
2010-07-28
Business Address
Dr. JEFFERSON RIDGWAY GAMBLIN D.M.D.
240 CALDWELL DR
HAZLEHURST, MS 39083-2723
Phone number: 601-894-4732
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Mailing Address
Dr. JEFFERSON RIDGWAY GAMBLIN D.M.D.
421 KINGSBRIDGE RD
MADISON, MS 39110-7644
Phone number: 601-506-1642
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