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1346543345
JOHN D WISE
CLINTON, MS
NPI
1346543345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: MS 5337740001)
Enumeration Date
2010-12-13
Last Update Date
2011-01-04
Business Address
JOHN D WISE
600 E NORTHSIDE DR SUITE D
CLINTON, MS 39056-3437
Phone number: 601-925-9473
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Mailing Address
JOHN D WISE
600 E NORTHSIDE DR SUITE D
CLINTON, MS 39056-3437
Phone number: 601-925-9473
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