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1962557157
SOUTHERN UROLOGY ASSOCIATES LLC
GULFPORT, MS
NPI
1962557157
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Entity Type
Organization
Authorized Contact
ROBERT J. LAGEESE
Vice President
504-988-7044
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2007-01-25
Last Update Date
2020-08-22
Business Address
SOUTHERN UROLOGY ASSOCIATES LLC
12330 ASHLEY DR
GULFPORT, MS 39503-2737
Phone number: 228-831-1572
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Mailing Address
SOUTHERN UROLOGY ASSOCIATES LLC
12330 ASHLEY DR
GULFPORT, MS 39503-2737
Phone number: 228-831-1572
Copy
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