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1265744510
JEREMY WAYNE PARKER
DIBERVILLE, MS
NPI
1265744510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 3553-10)
Enumeration Date
2010-07-01
Last Update Date
2021-06-04
Business Address
Dr. JEREMY WAYNE PARKER D.M.D.
4299 POPPS FERRY RD
DIBERVILLE, MS 39540-2363
Phone number: 228-392-0509
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Mailing Address
Dr. JEREMY WAYNE PARKER D.M.D.
4299 POPPS FERRY RD
DIBERVILLE, MS 39540-2363
Phone number: 228-392-0509
Copy
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