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Individual

ROBERT LEE MCLEROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
28 CHASE ST, BYHALIA, MS 38611-7363
(662) 838-4500
(662) 838-4502
Mailing address
28 CHASE ST, BYHALIA, MS 38611-7363
(662) 838-4500
(662) 838-4502

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
04/12/2012
Last updated
12/18/2012
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