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1285072058
EAST MAIN FAMILY MEDICAL CLINIC LLC
TUPELO, MS
NPI
1285072058
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Entity Type
Organization
Authorized Contact
RODNEY RODGERS
Owner/Nurse Practitioner
662-350-3550
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2013-06-13
Last Update Date
2020-09-08
Business Address
EAST MAIN FAMILY MEDICAL CLINIC LLC
1424 E MAIN ST
TUPELO, MS 38804-2956
Phone number: 662-842-4877
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Mailing Address
EAST MAIN FAMILY MEDICAL CLINIC LLC
1424 E MAIN ST
TUPELO, MS 38804-2956
Phone number: 662-350-3550
Copy
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