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1356363915
JOHN R FORD
VICKSBURG, MS
NPI
1356363915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 07650)
Enumeration Date
2006-07-24
Last Update Date
2011-09-19
Business Address
Dr. JOHN R FORD MS
1901 MISSION 66
VICKSBURG, MS 39180-3711
Phone number: 601-636-0097
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Mailing Address
Dr. JOHN R FORD MS
1901 MISSION 66
VICKSBURG, MS 39180-3711
Phone number: 601-636-8244
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