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1568577039
DANIEL BOBBY STORY
JACKSON, MS
NPI
1568577039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 2202-85)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Dr. DANIEL BOBBY STORY
5800 RIDGEWOOD RD SUITE 101
JACKSON, MS 39211-2667
Phone number: 601-956-9850
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Mailing Address
Dr. DANIEL BOBBY STORY
5800 RIDGEWOOD RD SUITE 101
JACKSON, MS 39211-2667
Phone number: 601-956-9850
Copy
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