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1033420914
WANDA JOHNSON
JACKSON, MS
NPI
1033420914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R586986)
Enumeration Date
2010-06-25
Last Update Date
2010-06-25
Business Address
-- WANDA JOHNSON BCFNP
350 W WOODROW WILSON AVE SUITE 411
JACKSON, MS 39213-7681
Phone number: 601-364-2666
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Mailing Address
-- WANDA JOHNSON BCFNP
350 W WOODROW WILSON AVE SUITE 411
JACKSON, MS 39213-7681
Phone number: 601-364-2666
Copy
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