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1144320920
CALVIN S ENNIS
MOSS POINT, MS
NPI
1144320920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 08202)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
Dr. CALVIN S ENNIS M.D.
8006 HWY 613
MOSS POINT, MS 39562
Phone number: 228-475-1166
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Mailing Address
Dr. CALVIN S ENNIS M.D.
PO BOX 1358
ESCATAWPA, MS 39552-1358
Phone number: 228-475-1166
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