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1902109903
JEFFREY WAYNE CARTER
COLUMBUS, MS
NPI
1902109903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: MS 972770)
Enumeration Date
2010-12-13
Last Update Date
2010-12-13
Business Address
Mr. JEFFREY WAYNE CARTER
1809 7TH AVENUE NORTH
COLUMBUS, MS 39701
Phone number: 662-251-1064
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Mailing Address
Mr. JEFFREY WAYNE CARTER
P.O.BOX 8774
COLUMBUS, MS 39701
Phone number: 662-251-1064
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