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1457544066
FAMILY WELLNESS CLINIC LLC
PORT GIBSON, MS
NPI
1457544066
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Entity Type
Organization
Authorized Contact
TANYA S ANDERSON
Member
601-437-5668
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 16897)
Enumeration Date
2007-08-27
Last Update Date
2021-07-09
Business Address
FAMILY WELLNESS CLINIC LLC
703B FARMER ST
PORT GIBSON, MS 39150-2319
Phone number: 601-437-5668
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Mailing Address
FAMILY WELLNESS CLINIC LLC
PO BOX 726
PORT GIBSON, MS 39150-0726
Phone number: 601-437-5668
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