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1063050862
SOUTHERN PROSTHETIC CARE LLC
GULFPORT, MS
NPI
1063050862
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Entity Type
Organization
Authorized Contact
WILLIAM J KENNY
Owner
228-265-7847
Organization Subpart ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2019-12-12
Last Update Date
2020-01-21
Business Address
SOUTHERN PROSTHETIC CARE LLC
1308 44TH AVE
GULFPORT, MS 39501-2552
Phone number: 228-265-7847
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Mailing Address
SOUTHERN PROSTHETIC CARE LLC
1308 44TH AVE
GULFPORT, MS 39501-2552
Phone number: 228-265-7847
Copy
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