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1235888413
CHILDRENS SPECIALTY CLINIC OF LAUREL
LAUREL, MS
NPI
1235888413
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Entity Type
Organization
Authorized Contact
JESSICA MCKINNON
Owner
601-498-5009
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
CHILDRENS SPECIALTY CLINIC OF LAUREL
2110A SANDY LN
LAUREL, MS 39443-9087
Phone number: 601-498-5009
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Mailing Address
CHILDRENS SPECIALTY CLINIC OF LAUREL
2110A SANDY LN
LAUREL, MS 39443-9087
Phone number: 601-498-5009
Copy
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