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1336246446
CARL WAYNE STEVENS
LAUREL, MS
NPI
1336246446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: MS 15762)
Enumeration Date
2006-09-20
Last Update Date
2011-05-18
Business Address
-- CARL WAYNE STEVENS MD
203 S 12TH AVE
LAUREL, MS 39440-4324
Phone number: 601-649-9706
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Mailing Address
-- CARL WAYNE STEVENS MD
203 S 12TH AVE
LAUREL, MS 39440-4324
Phone number: 601-649-9706
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