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1023028925
HOLLIS LANGSTON PURVIANCE
JACKSON, MS
NPI
1023028925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R859975)
Enumeration Date
2006-08-09
Last Update Date
2019-11-19
Business Address
Mr. HOLLIS LANGSTON PURVIANCE CFNP
2500 N STATE ST UNIVERSITY ORTHOPEDIC ASSOCIATES PLLC
JACKSON, MS 39216
Phone number: 601-984-1000
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Mailing Address
Mr. HOLLIS LANGSTON PURVIANCE CFNP
2500 N STATE ST CBO - SUITE 4200
JACKSON, MS 39216-4500
Phone number: 601-496-9794
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