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1356470983
VERNON A CHASE
PONTOTOC, MS
NPI
1356470983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: MS 05771)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Dr. VERNON A CHASE DR
176 S MAIN ST
PONTOTOC, MS 38863-3311
Phone number: 662-488-7640
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Mailing Address
Dr. VERNON A CHASE DR
1309 CARROLLVILLE AVE
BALDWYN, MS 38824-1112
Phone number: 601-365-7721
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