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Organization

MR B'S

Active
Other names
BMOBILE
Organization subpart
No

Provider details

NPI number
Authorized official
RICKEY L LATCH (AISSITVE TECHNOLOGIST-MANAGER)
(228) 875-7171
Entity
Organization

Contact information

Practice address
1309 HIGHWAY 90, OCEAN SPRINGS, MS 39564-2913
(228) 875-7171
(228) 875-1162
Mailing address
1309 HIGHWAY 90, OCEAN SPRINGS, MS 39564-2913
(228) 875-7171
(228) 875-1162

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
030-18892-4
MS

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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