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1609885284
LARRY W SIVILS
MADISON, MS
NPI
1609885284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 11084)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
-- LARRY W SIVILS MD
935 HIGHWAY 51
MADISON, MS 39110-8407
Phone number: 601-856-5986
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Mailing Address
-- LARRY W SIVILS MD
935 HIGHWAY 51
MADISON, MS 39110-8407
Phone number: 601-856-5986
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