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1497819726
RLGMDPA INC
VICKSBURG, MS
NPI
1497819726
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Entity Type
Organization
Authorized Contact
ROBERT LEE GIFFIN
Adm
601-636-0097
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 09966)
Enumeration Date
2006-12-21
Last Update Date
2008-04-16
Business Address
RLGMDPA INC
1901 MISSION 66
VICKSBURG, MS 39180-3711
Phone number: 601-636-0097
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Mailing Address
RLGMDPA INC
1901 MISSION 66
VICKSBURG, MS 39180-3711
Phone number: 601-636-0097
Copy
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