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1821340407
MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC.
MOBILE, AL
NPI
1821340407
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Entity Type
Organization
Authorized Contact
CLARK P. CHRISTIANSON
President
251-633-1660
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-10-08
Last Update Date
2012-10-08
Business Address
MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC.
6701 AIRPORT BLVD SUITE D430
MOBILE, AL 36608-6705
Phone number: 251-342-3949
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Mailing Address
MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC.
PO BOX 850489
MOBILE, AL 36685-0489
Phone number: 251-342-3949
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