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1114490323
DEVAN LAMONTE STRANGE
CANTON, MS
NPI
1114490323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Additional Taxonomies
172A00000X Driver
(Licence: MS 801131590)
Enumeration Date
2019-01-10
Last Update Date
2021-06-11
Business Address
Mr. DEVAN LAMONTE STRANGE
177 MIGGINS RD
CANTON, MS 39046-9162
Phone number: 601-761-4315
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Mailing Address
Mr. DEVAN LAMONTE STRANGE
4780 I 55 N STE 100
JACKSON, MS 39211-5583
Phone number: 601-761-2025
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