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1043246259
TARENCE E WADE
GRENADA, MS
NPI
1043246259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MS 11435)
Enumeration Date
2006-06-23
Last Update Date
2009-06-15
Business Address
Dr. TARENCE E WADE MD
960 AVENT DR
GRENADA, MS 38901-5230
Phone number: 662-227-7172
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Mailing Address
Dr. TARENCE E WADE MD
14050 NW 14TH ST SUITE 190
SUNRISE, FL 33323-2865
Phone number: 800-424-3672
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