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Individual

DR. JIMMY RAY SANCHEZ II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2009 CONSTITUTION DR, IUKA, MS 38852
(662) 423-9315
Mailing address
P.O. BOX 366, IUKA, MS 38852
(662) 423-9315

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0146
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116414
MS
Enumeration date
01/04/2007
Last updated
07/08/2007
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