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1194758292
JOSE SANTIAGO SUBAUSTE
JACKSON, MS
NPI
1194758292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: MS 16940)
Enumeration Date
2006-07-09
Last Update Date
2012-06-15
Business Address
Dr. JOSE SANTIAGO SUBAUSTE M.D.
1500 E WOODROW WILSON AVE R&E BUILDING (151) - VAMC
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
Dr. JOSE SANTIAGO SUBAUSTE M.D.
1500 E WOODROW WILSON AVE R&E BUILDING (151) - VAMC
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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