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1538937263
CHANNING BURDEN
CLINTON, MS
NPI
1538937263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
CHANNING BURDEN
812 LIVE OAK DR
CLINTON, MS 39056-3621
Phone number: 769-203-0205
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Mailing Address
CHANNING BURDEN
812 LIVE OAK DR
CLINTON, MS 39056-3621
Phone number: 769-203-0205
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