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1790899912
BRAD YOUNG BRYAN
JACKSON, MS
NPI
1790899912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 3347-05)
Enumeration Date
2006-08-17
Last Update Date
2015-03-31
Business Address
Dr. BRAD YOUNG BRYAN D.M.D.
4463 N STATE ST
JACKSON, MS 39206-5306
Phone number: 601-714-2908
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Mailing Address
Dr. BRAD YOUNG BRYAN D.M.D.
4463 N STATE ST
JACKSON, MS 39206-5306
Phone number: 601-946-5908
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