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1487769055
CLARENCE RENSHAW AVERY
PASCAGOULA, MS
NPI
1487769055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 1819-78)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Dr. CLARENCE RENSHAW AVERY D.D.S.
5106 TELEPHONE RD
PASCAGOULA, MS 39567-1120
Phone number: 228-762-9123
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Mailing Address
Dr. CLARENCE RENSHAW AVERY D.D.S.
PO BOX 405
PASCAGOULA, MS 39568-0405
Phone number: 228-762-9123
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