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1245533975
KIMBERLY MOODY WADE
JACKSON, MS
NPI
1245533975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 3578-10)
Enumeration Date
2010-12-20
Last Update Date
2010-12-20
Business Address
Dr. KIMBERLY MOODY WADE D.M.D.
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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Mailing Address
Dr. KIMBERLY MOODY WADE D.M.D.
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
Copy
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