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1205003472
REBECCA RIEVES WATERER
JACKSON, MS
NPI
1205003472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: MS 11012)
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
Dr. REBECCA RIEVES WATERER M.D.
2500 N STATE ST DEPT. OF EMPLOYEE/STUDENT HEALTH
JACKSON, MS 39216-4500
Phone number: 601-984-1185
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Mailing Address
Dr. REBECCA RIEVES WATERER M.D.
2500 N STATE ST DEPT. OF EMPLOYEE/STUDENT HEALTH
JACKSON, MS 39216-4500
Phone number: 601-984-1185
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