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Individual

DR. JUAN MERCADO SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
HWY49W MS. DEPT OF CORRECTION, PODRAWER E, PARCHMAN, MS 38738
(662) 745-6611
(662) 745-9994
Mailing address
HWY49W MS. DEPT.OFCORRECTION, POBOX237, PARCHMAN, MS 38738
(662) 745-6611
(662) 745-9994

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
270-L
MS

Other

Enumeration date
04/21/2009
Last updated
04/21/2009
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