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1710520101
VAIL FAMILY CLINIC, LLC
TUPELO, MS
NPI
1710520101
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Entity Type
Organization
Authorized Contact
ROBERT IRA VAIL
Administrator
662-841-0617
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
VAIL FAMILY CLINIC, LLC
800 E MAIN ST
TUPELO, MS 38804-2826
Phone number: 662-841-0617
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Mailing Address
VAIL FAMILY CLINIC, LLC
PO BOX 780
NEW ALBANY, MS 38652-0780
Phone number: 662-316-3144
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