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1548785850
MADELYN A BAUCUM
LAUREL, MS
NPI
1548785850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MS PA00335)
Enumeration Date
2017-08-08
Last Update Date
2017-08-08
Business Address
MADELYN A BAUCUM PA
1220 JEFFERSON ST
LAUREL, MS 39440-4355
Phone number: 601-426-4000
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Mailing Address
MADELYN A BAUCUM PA
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-399-6169
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