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1477642791
KID'S CLINIC, PLLC
COLLINSVILLE, MS
NPI
1477642791
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Entity Type
Organization
Authorized Contact
TAMMY N HENDERSON
Owner
601-427-2752
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: MS 13886)
Enumeration Date
2006-10-12
Last Update Date
2013-06-04
Business Address
KID'S CLINIC, PLLC
9325C HIGHWAY 19 N
COLLINSVILLE, MS 39325-9219
Phone number: 601-427-2752
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Mailing Address
KID'S CLINIC, PLLC
9325C HIGHWAY 19 N
COLLINSVILLE, MS 39325-9219
Phone number: 601-427-2752
Copy
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TAMMY N HENDERSON