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Individual

JAMES H CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 276-3040
(601) 249-4234
Mailing address
PO BOX 768, MCCOMB, MS 39649-0768
(601) 276-3040
(601) 249-4234

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R887640
MS

Other

Enumeration date
02/07/2012
Last updated
02/07/2012
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