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1144733361
HEALTHTRUST MAGNOLIA, LLC
HATTIESBURG, MS
NPI
1144733361
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Entity Type
Organization
Authorized Contact
SHELLEY H GENDUSA
Managing Member
601-606-6366
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2017-11-09
Last Update Date
2017-11-09
Business Address
HEALTHTRUST MAGNOLIA, LLC
203 S 40TH AVE STE B
HATTIESBURG, MS 39402-1604
Phone number: 601-606-6366
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Mailing Address
HEALTHTRUST MAGNOLIA, LLC
PO BOX 17168
HATTIESBURG, MS 39404-7168
Phone number:
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