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Organization

MIND BODY SOUL WEIGHT REDUCTION CLINIC

Active
Other names
Mind Body Soul Weight Reduction Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
KIMAKA BOWENS (OFFICE MANAGER)
(601) 347-1023
Entity
Organization

Contact information

Practice address
296 BEAUVOIR RD # 319, BILOXI, MS 39531-4051
(601) 347-1023
Mailing address
PO BOX 313, PICAYUNE, MS 39466-0313
(601) 347-1023

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689067324
NPI
Enumeration date
01/09/2023
Last updated
01/09/2023
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