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1063865343
WJL PODIATRY CLINIC LLC
JACKSON, MS
NPI
1063865343
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Entity Type
Organization
Authorized Contact
WILLIE LEWIS
Doctor
601-355-0026
Organization Subpart ?
No
Primary Taxonomy
261QP1100X Clinic/Center, Podiatric
(Licence: MS 80062)
Enumeration Date
2016-07-21
Last Update Date
2017-03-28
Business Address
WJL PODIATRY CLINIC LLC
953 NORTH ST
JACKSON, MS 39202-2615
Phone number: 601-355-0026
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Mailing Address
WJL PODIATRY CLINIC LLC
953 NORTH ST
JACKSON, MS 39202-2615
Phone number: 601-355-0026
Copy
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