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1043300825
LYDIA ELLIS WEISSER
MERIDIAN, MS
NPI
1043300825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
283Q00000X Psychiatric Hospital
(Licence: MS 19817)
Enumeration Date
2006-10-13
Last Update Date
2013-12-17
Business Address
MRS. LYDIA ELLIS WEISSER D.O.
1818 COLLEGE DRIVE
MERIDIAN, MS 39307-5429
Phone number: 601-581-7592
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Mailing Address
MRS. LYDIA ELLIS WEISSER D.O.
PO BOX 4128
MERIDIAN, MS 39304-4128
Phone number: 601-581-7592
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