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1396748067
GENE MARK BAINES
GREENWOOD, MS
NPI
1396748067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS MS1905-80)
Enumeration Date
2005-05-24
Last Update Date
2012-08-30
Business Address
Dr. GENE MARK BAINES D.M.D.
509 HIGHWAY 82 W
GREENWOOD, MS 38930-5053
Phone number: 662-455-3192
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Mailing Address
Dr. GENE MARK BAINES D.M.D.
509 HIGHWAY 82 W
GREENWOOD, MS 38930-5053
Phone number: 662-455-3192
Copy
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