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1508206558
DEMETRIO JOSE PROTA MARTINEZ
TUPELO, MS
NPI
1508206558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MS 24914)
Enumeration Date
2013-07-04
Last Update Date
2018-09-28
Business Address
DEMETRIO JOSE PROTA MARTINEZ M.D.
830 S GLOSTER ST
TUPELO, MS 38801
Phone number: 662-377-7590
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Mailing Address
DEMETRIO JOSE PROTA MARTINEZ M.D.
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 662-377-7590
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