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1649381104
TUPELO PLASTIC SURGERY CLINIC OF TUPELO PA
TUPELO, MS
NPI
1649381104
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Entity Type
Organization
Authorized Contact
ROBERT BUCKLEY
Md
662-377-6630
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
Enumeration Date
2006-08-31
Last Update Date
2008-02-29
Business Address
TUPELO PLASTIC SURGERY CLINIC OF TUPELO PA
4381 S EASON BLVD STE 101 LONGTOWN MEDICAL PARK
TUPELO, MS 38801-6586
Phone number: 662-377-6630
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Mailing Address
TUPELO PLASTIC SURGERY CLINIC OF TUPELO PA
450 E PRESIDENT AVE
TUPELO, MS 38801-5599
Phone number: 662-377-4685
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