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1932706306
BRENYATTA TRAVIS
HATTIESBURG, MS
NPI
1932706306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 4169-20)
Enumeration Date
2020-10-07
Last Update Date
2024-07-18
Business Address
BRENYATTA TRAVIS DMD
6052 U S HIGHWAY 98
HATTIESBURG, MS 39402-8861
Phone number: 601-573-3760
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Mailing Address
BRENYATTA TRAVIS DMD
991 HIGHWAY 42
PETAL, MS 39465-9739
Phone number: 601-447-4799
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