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1942358213
UPA PLLC DIV OF ALLERGY
JACKSON, MS
NPI
1942358213
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Entity Type
Organization
Authorized Contact
OWEN B EVANS
Manager
601-984-5214
Organization Subpart ?
No
Primary Taxonomy
2080P0201X Pediatrics, Pediatric Allergy/Immunology
Enumeration Date
2007-01-05
Last Update Date
2020-08-22
Business Address
UPA PLLC DIV OF ALLERGY
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-8986
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Mailing Address
UPA PLLC DIV OF ALLERGY
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-8986
Copy
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