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1205090040
JAMAAL EDWIN LONGINO
FLOWOOD, MS
NPI
1205090040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MS 3483-08)
Enumeration Date
2008-07-10
Last Update Date
2017-04-25
Business Address
Dr. JAMAAL EDWIN LONGINO DMD
105 RIDGE WAY STE
FLOWOOD, MS 39232-3303
Phone number: 601-203-1654
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Mailing Address
Dr. JAMAAL EDWIN LONGINO DMD
105 RIDGE WAY STE
FLOWOOD, MS 39232-3303
Phone number:
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