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1790921724
PREMIER REHAB
TOUGALOO, MS
NPI
1790921724
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Entity Type
Organization
Authorized Contact
TERRANCE D NICKENS
Owner
601-636-6019
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2008-12-22
Last Update Date
2008-12-22
Business Address
PREMIER REHAB
500 WEST COUNTYLINE RD
TOUGALOO, MS 39174
Phone number: 601-636-6019
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Mailing Address
PREMIER REHAB
PO BOX 16569
JACKSON, MS 39236-6569
Phone number: 601-636-6019
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