JOSE L MADARA

BOONEVILLE, MS
NPI1376739953
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: MS  7928)
Enumeration Date2007-09-18
Last Update Date2007-09-18
Business Address
-- JOSE L MADARA
102 HOTEL ST
BOONEVILLE, MS 38829-3303
Phone number: 662-728-7711
Mailing Address
-- JOSE L MADARA
102 HOTEL ST
BOONEVILLE, MS 38829-3303
Phone number: 662-728-7711
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