Jose L Madara Jr M D Pa

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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.

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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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