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1679916183
ZACHARY DOUGLAS MYRICK
JACKSON, MS
NPI
1679916183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Z00000X Orthotist
Enumeration Date
2013-04-15
Last Update Date
2013-04-15
Business Address
-- ZACHARY DOUGLAS MYRICK
2 OLD RIVER PL STE D
JACKSON, MS 39202-3435
Phone number: 601-944-1130
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Mailing Address
-- ZACHARY DOUGLAS MYRICK
2 OLD RIVER PL STE D
JACKSON, MS 39202-3435
Phone number:
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