EBONY WYATT

COLUMBIA, MS
NPI1902772148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374700000X Technician
(Licence: MS  Z6Y4T5D7)
Enumeration Date2025-10-15
Last Update Date2025-10-15
Business Address
EBONY WYATT CPT
811 MAIN ST STE 17
COLUMBIA, MS 39429-2711
Phone number: 601-549-3006
Mailing Address
EBONY WYATT CPT
102 LEXINGTON DR
HATTIESBURG, MS 39402-9313
Phone number: 601-549-3006
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