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1538654199
JERRY WAYNE LATCH
CORINTH, MS
NPI
1538654199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: MS 12758939)
Enumeration Date
2018-06-26
Last Update Date
2018-06-27
Business Address
JERRY WAYNE LATCH
206 N FILLMORE ST
CORINTH, MS 38834
Phone number: 662-286-8064
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Mailing Address
JERRY WAYNE LATCH
206 N FILLMORE ST
CORINTH, MS 38834-5634
Phone number: 662-286-8064
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