JERRY DIXON

KOSCIUSKO, MS
NPI1467091371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2019-12-26
Last Update Date2019-12-26
Business Address
JERRY DIXON
14337 HIGHWAY 12 W
KOSCIUSKO, MS 39090-3689
Phone number: 662-705-2210
Mailing Address
JERRY DIXON
PO BOX 1224
KOSCIUSKO, MS 39090-1224
Phone number: 662-705-2210
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