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1104027655
PRO MED ANALYSIS, LLC
BILOXI, MS
NPI
1104027655
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Entity Type
Organization
Authorized Contact
MAURICE F JORDAN
Vice President
228-326-0818
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2007-05-31
Last Update Date
2020-08-22
Business Address
PRO MED ANALYSIS, LLC
711 DR MARTIN LUTHER KING JR BLVD
BILOXI, MS 39530-3851
Phone number: 228-432-1192
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Mailing Address
PRO MED ANALYSIS, LLC
PO BOX 515
MONROE, NC 28111-0515
Phone number: 704-289-4767
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