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1386076800
BOLIVAR PHYSICIAN PRACTICES LLC
CLEVELAND, MS
NPI
1386076800
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Doing Business As
BOLIVAR ENT
Entity Type
Organization
Authorized Contact
JESS N JUDY
President
615-372-8500
Organization Subpart ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2013-08-07
Last Update Date
2013-09-12
Business Address
BOLIVAR PHYSICIAN PRACTICES LLC
903 E SUNFLOWER RD SUITE 400
CLEVELAND, MS 38732-2835
Phone number: 662-545-3205
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Mailing Address
BOLIVAR PHYSICIAN PRACTICES LLC
903 E SUNFLOWER RD SUITE 400
CLEVELAND, MS 38732-2835
Phone number: 662-545-3205
Copy
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