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1225072838
RICHARD D DESHAZO
JACKSON, MS
NPI
1225072838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RA0201X Internal Medicine, Allergy & Immunology
(Licence: MS 15660)
Enumeration Date
2006-06-15
Last Update Date
2015-09-25
Business Address
-- RICHARD D DESHAZO MD
878 LAKELAND DR LB-BUILDING
JACKSON, MS 39216-4500
Phone number: 601-815-1078
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Mailing Address
-- RICHARD D DESHAZO MD
878 LAKELAND DR LB-BUILDING
JACKSON, MS 39216-4500
Phone number: 601-815-1078
Copy
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