MARTEZ ANTONIO JOHNSON

JACKSON, MS
NPI1205075637
Entity TypeOrganization
Authorized ContactMARTEZ ANTONIO JOHNSON
Owner
601-605-2313
Organization Subpart ?No
Primary Taxonomy261QH0700X Clinic/Center Hearing and Speech
Enumeration Date2009-02-09
Last Update Date2009-02-09
Business Address
MARTEZ ANTONIO JOHNSON
3751 BISHOP AVE
JACKSON, MS 39213-5017
Phone number: 601-605-2313
Mailing Address
MARTEZ ANTONIO JOHNSON
3751 BISHOP AVE
JACKSON, MS 39213-5017
Phone number: 601-605-2313
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