Admin Client || Dee Karawadra

Created On May, 09 2023 11:00am ID #287 Back

Merchant (Business) DBA Name : Southern Performance Horse Dentistry PLLC

Business Legal Name : Southern Performance Horse Dentistry PLLC

Contact Name : Allen Etheridge

Contact Phone Number : 662-769-4500

Physical Address : 316 Tobe Henry Rd

City : Starkville

State : MS

Country : USA

Zip : 39759

Email Address : [email protected]

<?xml version="1.0"?>
<object>
  <sales_number>12232233</sales_number>
  <sales_office/>
  <sales_signing_rep/>
  <irs_tax_id_type/>
  <irs_tax_id_no/>
  <ownership_type>LLC</ownership_type>
  <business_incorporated/>
  <business_description/>
  <mailing_address>316 Tobe Henry Rd</mailing_address>
  <mailing_city>Starkville</mailing_city>
  <mailing_state>MS</mailing_state>
  <mailing_zip>39759</mailing_zip>
  <business_phone>662-769-4500</business_phone>
  <contact_first_name>Allen</contact_first_name>
  <contact_last_name>Etheridge</contact_last_name>
  <contact_phone>662-769-4500</contact_phone>
  <location_address>316 Tobe Henry Rd</location_address>
  <location_city>Starkville</location_city>
  <location_state>MS</location_state>
  <location_zip>39759</location_zip>
  <avg_ticket_amount>300</avg_ticket_amount>
  <ave_month_volume/>
  <bank_name>Bank of Kilmichael</bank_name>
  <bank_transit_number>084203250</bank_transit_number>
  <bank_dda_no>6529317</bank_dda_no>
  <gross_vs_net/>
  <refund_policy>0</refund_policy>
  <owner1_first_name>Allen</owner1_first_name>
  <owner1_last_name>Etheridge</owner1_last_name>
  <owner1_home_address>316 Tobe Henry Rd</owner1_home_address>
  <owner1_home_city>Starkville</owner1_home_city>
  <owner1_home_state>MS</owner1_home_state>
  <owner1_home_zip>39759</owner1_home_zip>
  <owner1_home_phone>6627694500</owner1_home_phone>
  <owner1_title>owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>1971-02-09</owner1_dob>
  <owner1_social_securrity_no>587472761</owner1_social_securrity_no>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>800980733</owner1_number>
  <owner1_expired>2024-02-09</owner1_expired>
  <owner1_issuer_state>MS</owner1_issuer_state>
  <owner1_issued_date>2016-03-02</owner1_issued_date>
</object>

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