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1063505840
EDMOND SHAUN MAYATTE
BRANDON, MS
NPI
1063505840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MS 3156-00)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
DR. EDMOND SHAUN MAYATTE D.M.D.
22 EASTGATE DR
BRANDON, MS 39042-2318
Phone number: 601-825-1105
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Mailing Address
DR. EDMOND SHAUN MAYATTE D.M.D.
22 EASTGATE DR
BRANDON, MS 39042-2318
Phone number: 601-825-1105
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