Khari A Omolara Pc

NPI 1205981578 - Counselor - 101Y00000X

NPI Details
NPI 1205981578
Enumeration Date 01/24/2007
Last Updated 12/01/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KHARI ABAYOMI KHARI
Position PRESIDENT
Phone (601) 366-3660
Fax (601) 786-0032
Practice Location
2906 N STATE ST
SUITE 300
JACKSON MS, 39216-4233, US
Phone (601) 366-3660
Fax (601) 786-0032
Business Location
PO BOX 55551
JACKSON MS, 39296-5551, US
Phone (601) 573-9471
Fax (606) 786-0032
Toxanomy
Taxonomy Code 101Y00000X
License State Mississippi
License Number 17619
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According to our database, Khari A Omolara Pc NPI is 1205981578, taxonomy code is 101Y00000X and license number is 17619, license state is located at Mississippi. Khari A Omolara Pc physically located at 2906 N State St, Jackson MS, 39216-4233. NPI Number 1033115704 has the healthcare provider type.

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1205981578 NPI number is provided on an as is basis without warranty of any kind. 1205981578 is maintained by the National Plan & Provider Enumeration System. The contents of Khari A Omolara Pc are for informational purposes only.