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1093292500
BRIDGET ELEASE SALLIE
BYRAM, MS
NPI
1093292500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: MS 453632458)
Enumeration Date
2018-07-26
Last Update Date
2018-07-26
Business Address
BRIDGET ELEASE SALLIE
215 TURTLE CREEK DR
BYRAM, MS 39272-9422
Phone number: 704-499-0465
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Mailing Address
BRIDGET ELEASE SALLIE
215 TURTLE CREEK DR
BYRAM, MS 39272-9422
Phone number: 704-499-0465
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