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1144515271
ABDUSSAMED KOSE
JACKSON, MS
NPI
1144515271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-06-16
Last Update Date
2015-04-23
Business Address
ABDUSSAMED KOSE MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5826
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Mailing Address
ABDUSSAMED KOSE MD
PO BOX 682656
FRANKLIN, TN 37068-2656
Phone number:
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