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1346318797
MISSISSIPPI UPPER CERVICAL CLINIC, INC
SOUTHAVEN, MS
NPI
1346318797
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Entity Type
Organization
Authorized Contact
TREVOR LAMAR QUALLS
Chiropractor
662-349-0980
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MS 1100)
Enumeration Date
2006-12-02
Last Update Date
2008-03-20
Business Address
MISSISSIPPI UPPER CERVICAL CLINIC, INC
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671-9227
Phone number: 662-349-0980
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Mailing Address
MISSISSIPPI UPPER CERVICAL CLINIC, INC
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Phone number: 662-349-0980
Copy
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