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1548468770
MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA
MERIDIAN, MS
NPI
1548468770
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Entity Type
Organization
Authorized Contact
DAVID L MOAK
Practice Administrator
601-354-4836
Organization Subpart ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
Enumeration Date
2007-07-10
Last Update Date
2010-02-16
Business Address
MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA
1400 20TH AVE SUITE C
MERIDIAN, MS 39301
Phone number: 601-693-0217
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Mailing Address
MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA
1513 LAKELAND DR SUITE 101
JACKSON, MS 39216-4829
Phone number: 601-354-4836
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