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1396228573
DERRICK JEFFERSON
WEST POINT, MS
NPI
1396228573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
Mr. DERRICK JEFFERSON
777 5TH ST
WEST POINT, MS 39773-2239
Phone number: 662-275-4718
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Mailing Address
Mr. DERRICK JEFFERSON
777 5TH ST
WEST POINT, MS 39773-2239
Phone number: 662-275-4718
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