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1528074184
DESOTO SURGERY CLINIC LLC
SOUTHAVEN, MS
NPI
1528074184
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Entity Type
Organization
Authorized Contact
MICHAEL E FOSTER
Medical Director
662-536-1545
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2006-08-01
Last Update Date
2008-03-14
Business Address
DESOTO SURGERY CLINIC LLC
7580 CLARINGTON CV
SOUTHAVEN, MS 38671
Phone number: 662-536-1545
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Mailing Address
DESOTO SURGERY CLINIC LLC
7580 CLARINGTON CV
SOUTHAVEN, MS 38671
Phone number: 662-536-1545
Copy
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