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1528185121
UPA PLLC AMBULATORY
JACKSON, MS
NPI
1528185121
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Entity Type
Organization
Authorized Contact
OWEN B EVANS
Managing Employee
601-984-5214
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2007-03-26
Last Update Date
2008-06-19
Business Address
UPA PLLC AMBULATORY
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-2195
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Mailing Address
UPA PLLC AMBULATORY
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-2195
Copy
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