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1407936420
PETER ROSS HAIK
JACKSON, MS
NPI
1407936420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS 00-020H)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. PETER ROSS HAIK
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
Dr. PETER ROSS HAIK
141 CARMEL AVE
JACKSON, MS 39204-4909
Phone number:
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