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1356497416
JERRY PASCALL MOORE
TUPELO, MS
NPI
1356497416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MS 06849)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Dr. JERRY PASCALL MOORE MD
146 ROAD 83
TUPELO, MS 38801-6971
Phone number: 662-407-0199
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Mailing Address
Dr. JERRY PASCALL MOORE MD
146 ROAD 83
TUPELO, MS 38801-6971
Phone number: 662-407-0199
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