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1164878419
ANN MARSHALL
JACKSON, MS
NPI
1164878419
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Entity Type
Organization
Authorized Contact
ANN MARSHALL
Administrator
601-624-3352
Organization Subpart ?
No
Primary Taxonomy
261QM2800X Clinic/Center, Methadone Clinic
Enumeration Date
2016-05-05
Last Update Date
2016-05-05
Business Address
ANN MARSHALL
2964 TERRY RD
JACKSON, MS 39212-3055
Phone number: 601-624-3352
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Mailing Address
ANN MARSHALL
2964 TERRY RD
JACKSON, MS 39212-3055
Phone number: 601-624-3352
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