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1245080753
WANYA PRIDGEN
JACKSON, MS
NPI
1245080753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-26
Last Update Date
2024-03-26
Business Address
WANYA PRIDGEN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1113
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Mailing Address
WANYA PRIDGEN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-0600
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