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1952646754
TOTAL LIFE CARE LLC
HATTIESBURG, MS
NPI
1952646754
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Entity Type
Organization
Authorized Contact
PRECIA PEDERSEN
Office Manager
601-544-0029
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
TOTAL LIFE CARE LLC
301 W PINE ST
HATTIESBURG, MS 39401-3829
Phone number: 601-544-0029
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Mailing Address
TOTAL LIFE CARE LLC
301 W PINE ST
HATTIESBURG, MS 39401-3829
Phone number: 601-544-0029
Copy
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