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1841312600
ROGER L COLLINS
JACKSON, MS
NPI
1841312600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS AC 8541636)
Enumeration Date
2007-04-04
Last Update Date
2010-11-09
Business Address
-- ROGER L COLLINS MD
1420 OLD SQUARE RD
JACKSON, MS 39211
Phone number: 601-713-1145
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Mailing Address
-- ROGER L COLLINS MD
1420 OLD SQUARE RD
JACKSON, MS 39211
Phone number: 601-713-1145
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