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1275586273
FRIENDSHIP MEDICAL CLINIC, LLC
ECRU, MS
NPI
1275586273
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Entity Type
Organization
Authorized Contact
BOBBY KEN NOWLIN
Owner
662-489-3333
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2006-05-19
Last Update Date
2011-09-09
Business Address
FRIENDSHIP MEDICAL CLINIC, LLC
5129 HIGHWAY 15 N
ECRU, MS 38841-9407
Phone number: 662-488-8799
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Mailing Address
FRIENDSHIP MEDICAL CLINIC, LLC
5129 HIGHWAY 15 N
ECRU, MS 38841-9407
Phone number: 662-488-8799
Copy
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