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1134135783
JAMES DAVID HERZOG
JACKSON, MS
NPI
1134135783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MS 26348)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
JAMES DAVID HERZOG PHD
4500 INTERSTATE 55 NORTH SUITE 208
JACKSON, MS 39211-5931
Phone number: 601-981-5757
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Mailing Address
JAMES DAVID HERZOG PHD
4500 INTERSTATE 55 NORTH SUITE 208
JACKSON, MS 39211-5931
Phone number: 601-981-5757
Copy
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