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1871918789
OLIVE BRANCH PRIMARY CARE, PLLC
OLIVE BRANCH, MS
NPI
1871918789
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Entity Type
Organization
Authorized Contact
KAREN M TATE
Office Administrator
662-895-3700
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2014-02-28
Last Update Date
2014-02-28
Business Address
OLIVE BRANCH PRIMARY CARE, PLLC
7163 GOODMAN RD
OLIVE BRANCH, MS 38654-1904
Phone number: 662-895-3700
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Mailing Address
OLIVE BRANCH PRIMARY CARE, PLLC
1405 NOTTINGHAM DR
SOUTHAVEN, MS 38671-9474
Phone number: 662-349-0406
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