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1174934590
DANIEL KENNETH NELSON
MCCOMB, MS
NPI
1174934590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
Mr. DANIEL KENNETH NELSON
1097 HIGHWAY 98 E STE B
MCCOMB, MS 39648-9452
Phone number: 601-684-8800
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Mailing Address
Mr. DANIEL KENNETH NELSON
1097 HIGHWAY 98 E STE B
MCCOMB, MS 39648-9452
Phone number: 601-684-8800
Copy
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