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1417189143
MATTHEW J QUIN
HATTIESBURG, MS
NPI
1417189143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS PA0019)
Enumeration Date
2009-08-13
Last Update Date
2009-08-13
Business Address
-- MATTHEW J QUIN PCAC
2749 OAK GROVE RD LOT 251
HATTIESBURG, MS 39402-8970
Phone number: 601-705-1901
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Mailing Address
-- MATTHEW J QUIN PCAC
2749 OAK GROVE RD LOT 251
HATTIESBURG, MS 39402-8970
Phone number: 601-705-1901
Copy
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