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Organization

ROXANNE M. OAKLEY

Active
Other names
Booneville Metro Medical Supply
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROXANNE MABRY OAKLEY (OWNER)
(662) 233-5279
Entity
Organization

Contact information

Practice address
317 HERITAGE DR., SUITE 2, OXFORD, MS 38655-5402
(662) 233-5279
Mailing address
317 HERITAGE DR., SUITE 2, OXFORD, MS 38655
(662) 233-5279
(662) 233-6063

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06588/11.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00082313
MS
Enumeration date
08/12/2006
Last updated
04/15/2009
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