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1548583172
CHARLES REGGIE KENNEDY
JACKSON, MS
NPI
1548583172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Z00000X Orthotist
(Licence: MS C0004097)
Enumeration Date
2010-03-10
Last Update Date
2010-03-10
Business Address
Mr. CHARLES REGGIE KENNEDY certified Orthotist
777 LAKELAND DR
JACKSON, MS 39216-4611
Phone number: 601-815-4844
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Mailing Address
Mr. CHARLES REGGIE KENNEDY certified Orthotist
503 CEDAR ST
MIZE, MS 39116-5572
Phone number: 601-733-2327
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