VICKSBURG ALLERGY AND ASTHMA

VICKSBURG, MS
NPI1619140399
Entity TypeOrganization
Authorized ContactTIMOTHY KERUT
President
601-636-0097
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: MS  11047)
Enumeration Date2008-04-02
Last Update Date2008-04-02
Business Address
VICKSBURG ALLERGY AND ASTHMA
104 MCAULEY DR
VICKSBURG, MS 39183-2825
Phone number: 601-636-0097
Mailing Address
VICKSBURG ALLERGY AND ASTHMA
107 CARLTON PLACE DR
VICKSBURG, MS 39180-1822
Phone number: 601-636-0097
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