DIANA L ENTREKIN

JACKSON, MS
NPI1073536785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  12835)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- DIANA L ENTREKIN MD
1777 ELLIS AVE
JACKSON, MS 39204-3616
Phone number: 601-371-0400
Mailing Address
-- DIANA L ENTREKIN MD
1777 ELLIS AVE
JACKSON, MS 39204-3616
Phone number: 601-371-0400
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