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1275932444
JOHN MICKA
HATTIESBURG, MS
NPI
1275932444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MS D0808)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
JOHN MICKA
2 LONGSTONE RD
HATTIESBURG, MS 39402-8434
Phone number: 601-297-5646
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Mailing Address
JOHN MICKA
2 LONGSTONE RD
HATTIESBURG, MS 39402-8434
Phone number: 601-297-5646
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