Provider Information for 1013375179
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JOHN RICE Jr. BSW
Sex: Male
NPI: 1013375179
Last Updated: 2016-02-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013375179 | ||||||||
| Enumeration Date | 2016-02-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 152 HIGHWAY 7 S OXFORD, MS 38655-5392 United States Phone: 662-234-7521 | Fax:662-236-3071 | ||||||||
| Primary Practice Address | 152 HIGHWAY 7 S OXFORD, MS 38655-5392 United States Phone: 662-234-7521 | Fax:662-236-3071 | ||||||||
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