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1962574749
MADISON SLEEP LAB, LLC
CANTON, MS
NPI
1962574749
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Entity Type
Organization
Authorized Contact
ROLAND B WALL
Manager
601-932-3397
Organization Subpart ?
No
Primary Taxonomy
261QS1200X Clinic/Center, Sleep Disorder Diagnostic
Enumeration Date
2006-11-15
Last Update Date
2008-03-20
Business Address
MADISON SLEEP LAB, LLC
1883 HIGHWAY 43 S
CANTON, MS 39046-8405
Phone number: 601-859-0730
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Mailing Address
MADISON SLEEP LAB, LLC
199 INTERSTATE DR STE C
RICHLAND, MS 39218-4428
Phone number: 601-932-3397
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