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1689674707
ROBERT JOSEPH DERVELOY
TUPELO, MS
NPI
1689674707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MS 12390)
Enumeration Date
2005-07-29
Last Update Date
2007-07-08
Business Address
-- ROBERT JOSEPH DERVELOY M.D.
830 S GLOSTER ST NMMC EAST TOWER 4TH FLOOR
TUPELO, MS 38801-4934
Phone number: 662-377-7170
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Mailing Address
-- ROBERT JOSEPH DERVELOY M.D.
PO BOX 7062
TUPELO, MS 38802-7062
Phone number: 662-377-7170
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