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NPI Provider: 1649275736
Contact Name: Madara Las LLAgas Jose
Position: President
Phone: (662) 728-7711
Jose L Madara Jr M D Pa Information:
Jose L Madara Jr M D Pa organization have npi 1649275736, taxonomy code is 208600000X with license number is 7928 in . This Business address located in 102 Hotel St, Booneville, MS 38829 Mississippi. Get directions of Jose L Madara Jr M D Pa.
Practice Location
Address: 102 Hotel St, Booneville, MS 38829
Phone: (662) 728-7711
Business Location
Address: 102 Hotel St, Booneville, MS 38829
Phone: (662) 728-7711
Fax: (662) 728-7713
Taxonomy
Taxonomy Code: 208600000X
License Number: 7928
License Number of State: MS
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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