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Individual

JUDY E SALLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17232 EXCALIBUR CIR, GULFPORT, MS 39503-3864
(228) 365-7971
Mailing address
PO BOX 3617, GULFPORT, MS 39505-3617
(228) 224-8561
(228) 206-9526

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
1148023
MS

Other

Enumeration date
10/02/2018
Last updated
10/02/2018
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