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1386797991
UPA PLLC JACKSON MED MALL
JACKSON, MS
NPI
1386797991
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Entity Type
Organization
Authorized Contact
OWEN B EVANS
Manager
601-984-5214
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2007-01-18
Last Update Date
2020-08-22
Business Address
UPA PLLC JACKSON MED MALL
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-2198
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Mailing Address
UPA PLLC JACKSON MED MALL
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-2198
Copy
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