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1952919953
360 HEALTHCARE CLINIC
PEARL, MS
NPI
1952919953
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Entity Type
Organization
Authorized Contact
DENETTA D PARKER
Owner
769-572-7819
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
360 HEALTHCARE CLINIC
202 SAINT PAUL ST
PEARL, MS 39208-5134
Phone number: 769-572-7819
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Mailing Address
360 HEALTHCARE CLINIC
202 SAINT PAUL ST
PEARL, MS 39208-5134
Phone number: 769-572-7819
Copy
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