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1861629974
CARROLL WOMACK DEW
JACKSON, MS
NPI
1861629974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 2782-94)
Enumeration Date
2009-06-16
Last Update Date
2009-06-16
Business Address
Dr. CARROLL WOMACK DEW D.D.S.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6194
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Mailing Address
Dr. CARROLL WOMACK DEW D.D.S.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6194
Copy
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