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Individual

GERALD DEVOE REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1699 N PARK AVE, COLUMBIA, MS 39429-9046
(601) 831-2045
Mailing address
1699 N PARK AVE, COLUMBIA, MS 39429-9046
(601) 831-2045

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
MS
172A00000X
Driver

Other

Enumeration date
11/05/2018
Last updated
11/05/2018
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