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1871887661
ELITE MEDICAL, PLLC
TUPELO, MS
NPI
1871887661
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Entity Type
Organization
Authorized Contact
ANNE DYE HAIRE
Owner/Physician
662-205-4652
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: MS 16935)
Enumeration Date
2011-06-08
Last Update Date
2013-10-22
Business Address
ELITE MEDICAL, PLLC
2633 TRACELAND DR
TUPELO, MS 38801-4238
Phone number: 662-205-4652
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Mailing Address
ELITE MEDICAL, PLLC
PO BOX 2484
TUPELO, MS 38803-2484
Phone number: 662-205-4652
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