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1194134478
JOHN WESLEY CONN
COLUMBUS, MS
NPI
1194134478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-08-12
Last Update Date
2016-05-12
Business Address
-- JOHN WESLEY CONN
1001 MAINT ST
COLUMBUS, MS 39701
Phone number: 662-328-9225
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Mailing Address
-- JOHN WESLEY CONN
1032 STATE HWY 50 W
WEST POINT, MS 39773
Phone number: 662-524-4347
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