Individual
MR. DEVAN LAMONTE STRANGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 MIGGINS RD, CANTON, MS 39046-9162
(601) 761-4315
Mailing address
4780 I 55 N STE 100, JACKSON, MS 39211-5583
(601) 761-2025
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
801131590
MS
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
06/11/2021
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