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1396784187
JACK C EVANS
LAUREL, MS
NPI
1396784187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 09103)
Enumeration Date
2006-06-06
Last Update Date
2014-02-11
Business Address
Dr. JACK C EVANS MD
1440 JEFFERSON ST
LAUREL, MS 39440-4243
Phone number: 601-428-0577
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Mailing Address
Dr. JACK C EVANS MD
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-399-6167
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