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Individual

DR. C GERALD O'BRIEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
640 LAKELAND EAST DRIVE, SUITE F, JACKSON, MS 39232-9778
(601) 664-6730
(601) 664-6732
Mailing address
640 LAKELAND EAST DRIVE, SUITE F, JACKSON, MS 39232-9778
(601) 664-6730
(601) 664-6732

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
15-167
MS

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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