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1013411859
IAN MICHAEL BRASTAUSKAS
JACKSON, MS
NPI
1013411859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: MS T-5445)
Enumeration Date
2018-03-19
Last Update Date
2024-07-02
Business Address
IAN MICHAEL BRASTAUSKAS
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
IAN MICHAEL BRASTAUSKAS
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number:
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