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1336261569
LARRY MCQUATER
JACKSON, MS
NPI
1336261569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: MS 025320136)
Enumeration Date
2007-04-06
Last Update Date
2008-03-21
Business Address
Mr. LARRY MCQUATER
240 MEADOWBROOK RD
JACKSON, MS 39206-5260
Phone number: 601-713-3366
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Mailing Address
Mr. LARRY MCQUATER
240 MEADOWBROOK RD
JACKSON, MS 39206-5260
Phone number: 601-713-3366
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