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1922350602
ERNEST W BUECHE
JACKSON, MS
NPI
1922350602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS ATO614)
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
Mr. ERNEST W BUECHE ATC
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-949-9140
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Mailing Address
Mr. ERNEST W BUECHE ATC
PO BOX 355
GOODMAN, MS 39079-0355
Phone number: 225-937-1295
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