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1184988503
PAUL WILLIAM FERNANDES
JACKSON, MS
NPI
1184988503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS T-2622)
Enumeration Date
2012-06-29
Last Update Date
2012-06-29
Business Address
-- PAUL WILLIAM FERNANDES D.O.
2500 N STATE ST DEPARTMENT OF MEDICINE
JACKSON, MS 39216-4500
Phone number: 601-984-5601
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Mailing Address
-- PAUL WILLIAM FERNANDES D.O.
2500 N STATE ST DEPARTMENT OF MEDICINE
JACKSON, MS 39216-4500
Phone number: 601-984-5601
Copy
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