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1487988002
VICKSBURG SPECIAL CARE CLINIC LLC
VICKSBURG, MS
NPI
1487988002
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Entity Type
Organization
Authorized Contact
MITCHELL CHAD BARRETT
Owner/Member
601-529-9341
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2009-09-29
Last Update Date
2014-10-29
Business Address
VICKSBURG SPECIAL CARE CLINIC LLC
4077 PEMBERTON SQUARE BLVD
VICKSBURG, MS 39180-5580
Phone number: 601-638-8600
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Mailing Address
VICKSBURG SPECIAL CARE CLINIC LLC
4077 PEMBERTON SQUARE BLVD
VICKSBURG, MS 39180-5580
Phone number: 601-638-8600
Copy
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