Provider Information for 1609480086
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ROBIN MELISSA AUCOIN
Sex: Female
NPI: 1609480086
Last Updated: 2020-09-03
Certification Date: 2020-09-03
Certification Date: 2020-09-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1609480086 | ||||||||
| Enumeration Date | 2020-09-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1745 COUNTY ROAD 344 QUITMAN, MS 39355-9454 United States Phone: 601-686-1560 | Fax: | ||||||||
| Primary Practice Address | 1745 COUNTY ROAD 344 QUITMAN, MS 39355-9454 United States Phone: 601-686-1560 | Fax: | ||||||||
| Secondary Practice Address(es) | 1520 8TH AVE | ||||||||
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