IAN MICHAEL BRASTAUSKAS

JACKSON, MS
NPI1013411859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: MS  T-5445)
Enumeration Date2018-03-19
Last Update Date2024-07-02
Business Address
IAN MICHAEL BRASTAUSKAS
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
IAN MICHAEL BRASTAUSKAS
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number:
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