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1427160654
KEITH D BISHOP
PORT GIBSON, MS
NPI
1427160654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 3288-04)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
-- KEITH D BISHOP DDS
2045 HIGHWAY 61 NORTH
PORT GIBSON, MS 39150-4262
Phone number: 601-437-3050
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Mailing Address
-- KEITH D BISHOP DDS
PO BOX 741
PORT GIBSON, MS 39150-0741
Phone number: 601-437-3050
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