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1851562599
TRAVIS JACKSON TAYLOR
JACKSON, MS
NPI
1851562599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 2157-85)
Enumeration Date
2008-03-21
Last Update Date
2008-03-21
Business Address
-- TRAVIS JACKSON TAYLOR DDS
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6030
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Mailing Address
-- TRAVIS JACKSON TAYLOR DDS
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6030
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