DIABETIC SHOE SOURCE

VICKSBURG, MS
NPI1396168290
Entity TypeOrganization
Authorized ContactJAMES T PHELAN
Owner
601-506-5689
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2014-01-28
Last Update Date2014-01-28
Business Address
DIABETIC SHOE SOURCE
104 MCAULEY DR
VICKSBURG, MS 39183-2825
Phone number: 601-883-3342
Mailing Address
DIABETIC SHOE SOURCE
104 MCAULEY DR
VICKSBURG, MS 39183-2825
Phone number: 601-883-3342
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