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1881602167
RICHEY E. WOODS
JACKSON, MS
NPI
1881602167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS 0011)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Mr. RICHEY E. WOODS ATC
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
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Mailing Address
Mr. RICHEY E. WOODS ATC
1397 LITTON RD
SHAW, MS 38773-9560
Phone number: 662-721-3349
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