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1194825323
FRED WALLACE RUSHTON
JACKSON, MS
NPI
1194825323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: MS 06237)
Enumeration Date
2006-09-25
Last Update Date
2014-04-22
Business Address
-- FRED WALLACE RUSHTON MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-925-6805
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Mailing Address
-- FRED WALLACE RUSHTON MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6426
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