Wallace Sigmon Mclaurin

NPI 1467846824 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1467846824
Gender Male
Enumeration Date 03/24/2015
Last Updated 03/24/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
210 DIAMOND D LAKE RD
BRANDON MS, 39042-8567, US
Phone (601) 259-6739
Fax
Business Location
210 DIAMOND D LAKE RD
BRANDON MS, 39042-8567, US
Phone (601) 259-6739
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Wallace Sigmon Mclaurin NPI is 1467846824, taxonomy code is 390200000X Wallace Sigmon Mclaurin physically located at 210 Diamond D Lake Rd, Brandon MS, 39042-8567. NPI Number Wallace Sigmon Mclaurin has the Individual type.

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1467846824 NPI number is provided on an as is basis without warranty of any kind. 1467846824 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Sigmon Mclaurin are for informational purposes only.