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1033117445
JACK ROY LEWIN
JACKSON, MS
NPI
1033117445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: MS 10322)
Enumeration Date
2005-07-09
Last Update Date
2015-11-17
Business Address
-- JACK ROY LEWIN M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1530
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Mailing Address
-- JACK ROY LEWIN M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1530
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