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1710103031
TKB MCC
GRENADA, MS
NPI
1710103031
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Entity Type
Organization
Authorized Contact
THOMAS BRASWELL
Owner
662-226-2030
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2007-04-17
Last Update Date
2020-08-22
Business Address
TKB MCC
990 J K AVENT DR
GRENADA, MS 38901-5002
Phone number: 662-226-2030
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Mailing Address
TKB MCC
PO BOX 458
GRENADA, MS 38902-0458
Phone number: 662-226-2030
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