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1538670013
STEVEN DWAYNE MIZE
SOUTH BOSTON, VA
NPI
1538670013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
STEVEN DWAYNE MIZE
606 BROAD ST
SOUTH BOSTON, VA 24592-3200
Phone number: 434-575-5200
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Mailing Address
STEVEN DWAYNE MIZE
PO BOX 776
SOUTH BOSTON, VA 24592-0776
Phone number: 434-575-5200
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