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1386979961
SOUTH MISSISSIPPI EAR, NOSE AND THROAT
PASCAGOULA, MS
NPI
1386979961
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Entity Type
Organization
Authorized Contact
DONALD S DAVENPORT
CEO
228-762-4483
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2009-10-15
Last Update Date
2009-10-15
Business Address
SOUTH MISSISSIPPI EAR, NOSE AND THROAT
2525 TELEPHONE ROAD
PASCAGOULA, MS 39567
Phone number: 228-762-4483
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Mailing Address
SOUTH MISSISSIPPI EAR, NOSE AND THROAT
2525 TELEPHONE ROAD
PASCAGOULA, MS 39567
Phone number: 228-762-4483
Copy
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